Organization Active NPI

Covenant Neurological Services, PC

  • Medical Specialty Clinic/Center
  • Southfield, MI
National Provider Identifier
1669611059
Registry record updated Apr 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
4301053752 Issued in MI
Legal business name
COVENANT NEUROLOGICAL SERVICES, PC
Practice address
23077 Greenfield Rd Ste 200
Southfield, MI 48075-3750
Phone
(248) 569-5476
NPI assigned
Feb 10, 2009
Last updated
Apr 1, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Charise Valentine, M. D.
Title
Doctor
Phone
(248) 569-5476

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 4301053752 MI Primary

Addresses

Primary practice location

23077 Greenfield Rd Ste 200
Southfield, MI 48075-3750

Mailing address

4245 S Beech Daly St
Dearborn Heights, MI 48125-1567

National Provider Directory

National Provider Directory

Locations

15831 Mack Ave
Detroit, MI 48224
Phone (313) 882-2266

17700 Northland Park Ct
Ste 20
Southfield, MI 48075
Phone (248) 569-5476

23077 Greenfield Rd
Ste 200
Southfield, MI 48075
Phone (248) 424-8888

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1234224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238544000000",
    "number": "1669611059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4245 S BEECH DALY ST",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481251567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23077 GREENFIELD RD STE 200",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480753750",
            "telephone_number": "248-569-5476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENANT NEUROLOGICAL SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-10",
        "last_updated": "2009-04-01",
        "status": "A",
        "authorized_official_last_name": "VALENTINE",
        "authorized_official_first_name": "CHARISE",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "248-569-5476",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "MI",
            "license": "4301053752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.