NPIMap

Organization Active NPI

Ennis Center for Children, Inc

  • Community/Behavioral Health Agency
  • Detroit, MI
National Provider Identifier
1689098121
Registry record updated Aug 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ENNIS CENTER FOR CHILDREN, INC
Practice address
20100 Greenfield Rd
Detroit, MI 48235
Phone
(313) 342-2699
Fax
(313) 342-2180
NPI assigned
Feb 4, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2018

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

Authorized official

Name
Robert Ennis, LMSWNPI 1063793594
Title
President
Phone
(810) 233-4031

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

20100 Greenfield Rd
Detroit, MI 48235

Mailing address

129 E 3Rd St
Flint, MI 48502-1728
Phone (810) 233-4031

National Provider Directory

National Provider Directory
Tax ID family
Ennis Center for Children Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

20100 Greenfield Rd
Detroit, MI 48235
Phone (313) 342-2699

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1391472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534377600000",
    "number": "1689098121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 E 3RD ST",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485021728",
            "telephone_number": "810-233-4031",
            "fax_number": "810-237-4141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20100 GREENFIELD RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48235",
            "telephone_number": "313-342-2699",
            "fax_number": "313-342-2180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENNIS CENTER FOR CHILDREN, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-04",
        "last_updated": "2018-08-16",
        "status": "A",
        "authorized_official_last_name": "ENNIS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "810-233-4031",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2018; 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.