Organization Active NPI

Testing and Treatment Services of Michigan

  • Exclusive Provider Organization
  • Dearborn, MI
National Provider Identifier
1720360456
Registry record updated Sep 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
License
68010111116 Issued in MI
Legal business name
TESTING AND TREATMENT SERVICES OF MICHIGAN
Practice address
1800 Grindley Park St
Suite 1
Dearborn, MI 48124-2553
Phone
(313) 277-1166
NPI assigned
Sep 20, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2011

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

Authorized official

Name
Mr. Melvin Hoberman, MSW, CSWNPI 1497812523
Title
Lead Therapist/ Owner
Phone
(248) 561-0003

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X 68010111116 MI Primary

Addresses

Primary practice location

1800 Grindley Park St
Suite 1
Dearborn, MI 48124-2553

Mailing address

1800 Grindley Park St
Suite 1
Dearborn, MI 48124-2553
Phone (313) 277-1166

Other identifiers 1

IdentifierTypeStateIssuer
1497812523MedicaidMI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1316476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316476800000",
    "number": "1720360456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 GRINDLEY PARK ST",
            "address_2": "SUITE 1",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242553",
            "telephone_number": "313-277-1166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 GRINDLEY PARK ST",
            "address_2": "SUITE 1",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242553",
            "telephone_number": "313-277-1166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TESTING AND TREATMENT SERVICES OF MICHIGAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-20",
        "last_updated": "2011-09-20",
        "status": "A",
        "authorized_official_last_name": "HOBERMAN",
        "authorized_official_first_name": "MELVIN",
        "authorized_official_title_or_position": "LEAD THERAPIST/ OWNER",
        "authorized_official_telephone_number": "248-561-0003",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW, CSW"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "MI",
            "license": "68010111116",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1497812523",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2011; 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.