Active NPI
Biomed Behavioral Health
- PACE Provider Organization
- Waterford, MI
National Provider Identifier
1700324548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- PACE Provider Organization
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.