Friends of Vision Interpersonal Services

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

Legal business name

FRIENDS OF VISION INTERPERSONAL SERVICES

Practice address

17500 Northland Park CT
Southfield, MI 48075-4324

Phone

(248) 757-2098

Fax

(248) 757-2098

NPI assigned

Sep 8, 2008

Last updated

Sep 11, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Constance Gwynn, MSWNPI 1144488024

Title

Founder/Director

Phone

(313) 258-2086

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Constance C Gwynn, MSW

  • Clinical Social Worker
  • Southfield, MI
  • NPI 1144488024
  Authorized official Same address or phone

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

{
    "created_epoch": "1220832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221091200000",
    "number": "1679721120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5390 CAMBOURNE PL",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483224101",
            "telephone_number": "313-258-2086",
            "fax_number": "248-757-2098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17500 NORTHLAND PARK CT",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480754324",
            "telephone_number": "248-757-2098",
            "fax_number": "248-757-2098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRIENDS OF VISION INTERPERSONAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-08",
        "last_updated": "2008-09-11",
        "status": "A",
        "authorized_official_last_name": "GWYNN",
        "authorized_official_first_name": "CONSTANCE",
        "authorized_official_title_or_position": "FOUNDER/DIRECTOR",
        "authorized_official_telephone_number": "313-258-2086",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Youvalanda Lorraine Frencher, NP
• Karina Semenovna Frenkel, NP-C
• Chaya Friedman
• Cole Friedman
• Friendly Home Health Services, Inc.
• Friends With Solutions LLC (ABR Adult Day Services LLC)
• Kelli Fritz, DO
• Gavin Frody
• Front Line Counseling Services, PLLC
• Front Line Home Health Care Inc

• Exclusive Provider Organization in Southfield, MI
• Providers in Southfield, MI by specialty
• Exclusive Provider Organization in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2008; 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.