Southpointe Counseling Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

6301005878 Issued in MI

Legal business name

SOUTHPOINTE COUNSELING SERVICES

Practice address

1927 Eureka Rd
Wyandotte, MI 48192-6009

Phone

(734) 365-4119

Fax

(734) 281-0188

NPI assigned

May 2, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Robert Wayne Gorman, MA.LLP

Title

Psychologist

Phone

(734) 365-4119

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1335916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335916800000",
    "number": "1710245261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1927 EUREKA",
            "city": "WYANDOTTE",
            "state": "MI",
            "postal_code": "48192",
            "telephone_number": "734-365-4119",
            "fax_number": "734-281-0188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1927 EUREKA RD",
            "city": "WYANDOTTE",
            "state": "MI",
            "postal_code": "481926009",
            "telephone_number": "734-365-4119",
            "fax_number": "734-281-0188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHPOINTE COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-02",
        "last_updated": "2012-05-02",
        "status": "A",
        "authorized_official_last_name": "GORMAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "734-365-4119",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA.LLP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "6301005878",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6301005878",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Spencer J Solomon, DO
• Taryn M Sommers
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• Shelby Souva
• Ryan Michael Spencer, D.O.
• Hannah Tear Spiegel, OD
• Dianne Marie Stachel, LMSW
• Heather Nicole Stefan, MNT

• Community/Behavioral Health Agency in Wyandotte, MI
• Providers in Wyandotte, MI by specialty
• Community/Behavioral Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.