Alternative Adult Day Care LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6301016094 Issued in MI

Legal business name

ALTERNATIVE ADULT DAY CARE LLC

Practice address

23600 Harper Ave
Suite 101
Saint Clair Shores, MI 48080-1445

Phone

(586) 200-5606

Fax

(586) 200-5608

NPI assigned

Feb 25, 2016

Last updated

Feb 25, 2016By 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

Bobbie Christian

Title

President

Phone

(586) 200-5606

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1456358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456358400000",
    "number": "1699135103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23600 HARPER AVE",
            "address_2": "SUITE 101",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480801445",
            "telephone_number": "586-200-5606",
            "fax_number": "586-200-5608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23600 HARPER AVE",
            "address_2": "SUITE 101",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480801445",
            "telephone_number": "586-200-5606",
            "fax_number": "586-200-5608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTERNATIVE ADULT DAY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-25",
        "last_updated": "2016-02-25",
        "status": "A",
        "authorized_official_last_name": "CHRISTIAN",
        "authorized_official_first_name": "BOBBIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-200-5606"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301016094",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801090472",
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Saint Clair Shores, MI
• Providers in Saint Clair Shores, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2016; 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.