Organization Active NPI

Biomed Behavioral Health

  • PACE Provider Organization
  • Waterford, MI
National Provider Identifier
1700324548
Registry record updated Feb 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PACE Provider OrganizationTaxonomy code 251T00000X
Legal business name
BIOMED BEHAVIORAL HEALTH
Practice address
269 Summit Dr
Waterford, MI 48328-3364
Phone
(248) 706-5041
NPI assigned
Feb 1, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2017

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

Authorized official

Name
Ms. Kelly Felicia Hartsfield
Title
Counselor
Phone
(248) 417-0929

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PACE Provider Organization 251T00000X Primary

Addresses

Primary practice location

269 Summit Dr
Waterford, MI 48328-3364

Mailing address

727 W Grand Blvd
Apt. 150
Detroit, MI 48216-2119
Phone (248) 417-0929

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1485907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485907200000",
    "number": "1700324548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "727 W GRAND BLVD",
            "address_2": "APT. 150",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482162119",
            "telephone_number": "248-417-0929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "269 SUMMIT DR",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483283364",
            "telephone_number": "248-706-5041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIOMED BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-01",
        "last_updated": "2017-02-01",
        "status": "A",
        "authorized_official_last_name": "HARTSFIELD",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "FELICIA",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "248-417-0929",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterford, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2017; 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.