First Behavioral Choice LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

FIRST BEHAVIORAL CHOICE LLC

Practice address

8537 Van Dyke St
Detroit, MI 48213-2374

Phone

(734) 377-9282

NPI assigned

Jul 10, 2012

Last updated

Jul 10, 2012By 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

Lynnette Roberson

Title

Owner

Phone

(734) 377-9282

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1341878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341878400000",
    "number": "1700141215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "643 HORTON ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482023138",
            "telephone_number": "734-377-9282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8537 VAN DYKE ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482132374",
            "telephone_number": "734-377-9282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST BEHAVIORAL CHOICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-10",
        "last_updated": "2012-07-10",
        "status": "A",
        "authorized_official_last_name": "ROBERSON",
        "authorized_official_first_name": "LYNNETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-377-9282"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Detroit, MI
• Providers in Detroit, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2012; 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.