Active NPI
Detroit East Community Mental Health, Inc.
- Community/Behavioral Health Agency
- Detroit, MI
National Provider Identifier
1700904828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 6801001987
- Legal business name
- DETROIT EAST COMMUNITY MENTAL HEALTH, INC.
- Practice address
- 3646 Mount Elliott St
Detroit, MI 48207-2311 - Phone
- (313) 392-0387
- NPI assigned
- Mar 27, 2007
- Last updated
- Aug 11, 2008
- 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
- Mrs. Doris Evelyn Sterrett, LMSW, CAC II
- Title
- Program Supervisor
- Phone
- (313) 921-4700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 6801001987 | MI | Primary |
Addresses
Primary practice location
3646 Mount Elliott St
Detroit, MI 48207-2311
Mailing address
3646 Mount Elliott St
Detroit, MI 48207-2311
Phone (313) 392-0387
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1218412800000",
"number": "1700904828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3646 MOUNT ELLIOTT ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482072311",
"telephone_number": "313-392-0387"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3646 MOUNT ELLIOTT ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482072311",
"telephone_number": "313-392-0387"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DETROIT EAST COMMUNITY MENTAL HEALTH, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-27",
"last_updated": "2008-08-11",
"status": "A",
"authorized_official_last_name": "STERRETT",
"authorized_official_first_name": "DORIS",
"authorized_official_middle_name": "EVELYN",
"authorized_official_title_or_position": "PROGRAM SUPERVISOR",
"authorized_official_telephone_number": "313-921-4700",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LMSW, CAC II"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "MI",
"license": "6801001987",
"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 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.