Organization Active NPI

Apex Behavioral Health PLLC

  • Clinical Social Worker
  • Plymouth, MI
National Provider Identifier
1710174453
Registry record updated May 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
APEX BEHAVIORAL HEALTH PLLC
Practice address
199 N Main St
Suite 202
Plymouth, MI 48170-1272
Phone
(734) 254-9316
Fax
(734) 254-8795
NPI assigned
Sep 26, 2007
Organization subpart
Yes
Parent organization
APEX BEHAVIORAL HEALTH PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 19, 2008

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

Authorized official

Name
Mr. Thomas Edgar Johnson, MSW
Title
Chief Executive Officer
Phone
(734) 254-9316

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

199 N Main St
Suite 202
Plymouth, MI 48170-1272

Mailing address

199 N Main St
Suite 202
Plymouth, MI 48170-1272
Phone (734) 254-9316

National Provider Directory

National Provider Directory
Part of
Apex Behaviorla Health PLLC

NPI Registry JSON

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

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211155200000",
    "number": "1710174453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 N MAIN ST",
            "address_2": "SUITE 202",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481701272",
            "telephone_number": "734-254-9316",
            "fax_number": "734-254-8795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 N MAIN ST",
            "address_2": "SUITE 202",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481701272",
            "telephone_number": "734-254-9316",
            "fax_number": "734-254-8795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APEX BEHAVIORAL HEALTH PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "APEX BEHAVIORAL HEALTH PLLC",
        "enumeration_date": "2007-09-26",
        "last_updated": "2008-05-19",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "EDGAR",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "734-254-9316",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.

Verify at the official NPI Registry.