NPIMap

Organization Active NPI

Detroit Recovery Project, Incorporated

  • Community/Behavioral Health Agency
  • Highland Park, MI
National Provider Identifier
1689045106
Registry record updated Oct 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
SA0823062 Issued in MI
Legal business name
DETROIT RECOVERY PROJECT, INCORPORATED
Practice address
400 Cortland St
Highland Park, MI 48203-3437
Phone
(313) 365-3100
Fax
(313) 365-3101
NPI assigned
Oct 9, 2015
Last updated
Oct 9, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2015

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

Authorized official

Name
Mrs. Virdell Thomas, MSW,LMSW,CAADC,CCS,NPI 1659422848
Title
Clinical Director
Phone
(313) 365-3113

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X SA0823062 MI Primary

Addresses

Primary practice location

400 Cortland St
Highland Park, MI 48203-3437

Mailing address

1121 E McNichols Rd
Detroit, MI 48203-2857
Phone (313) 365-3113

National Provider Directory

National Provider Directory
Tax ID family
Detroit Recovery Project Incorporated5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1444348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444348800000",
    "number": "1689045106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 E MCNICHOLS RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482032857",
            "telephone_number": "313-365-3113",
            "fax_number": "313-365-3098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 CORTLAND ST",
            "city": "HIGHLAND PARK",
            "state": "MI",
            "postal_code": "482033437",
            "telephone_number": "313-365-3100",
            "fax_number": "313-365-3101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DETROIT RECOVERY PROJECT, INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-09",
        "last_updated": "2015-10-09",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "VIRDELL",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "313-365-3113",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSW,LMSW,CAADC,CCS,"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "SA0823062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland Park, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2015; 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.