NPIMap

Organization Active NPI

Judson Center, Inc.

Doing business as Judson Center

  • Community/Behavioral Health Agency
  • Warren, MI
National Provider Identifier
1720895139
Registry record updated Dec 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
JUDSON CENTER, INC.
Doing business as
Judson Center
Practice address
12200 E 13 Mile Rd Ste 200
Warren, MI 48093-3093
Phone
(866) 558-3766
Fax
(586) 573-2121
NPI assigned
Dec 18, 2024
Last updated
Dec 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2024

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

Authorized official

Name
Joanna Mendoza McNair
Title
Director of Reimbursements
Phone
(248) 837-2092

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

12200 E 13 Mile Rd Ste 200
Warren, MI 48093-3093

Mailing address

30301 Northwestern Hwy Ste 100
Farmington Hills, MI 48334-3277
Phone (866) 558-3766

Other names 1

  • Judson Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Judson Center Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1734480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734566400000",
    "number": "1720895139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30301 NORTHWESTERN HWY STE 100",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343277",
            "telephone_number": "866-558-3766",
            "fax_number": "248-554-6518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12200 E 13 MILE RD STE 200",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480933093",
            "telephone_number": "866-558-3766",
            "fax_number": "586-573-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUDSON CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-18",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A",
        "authorized_official_last_name": "MCNAIR",
        "authorized_official_first_name": "JOANNA",
        "authorized_official_middle_name": "MENDOZA",
        "authorized_official_title_or_position": "DIRECTOR OF REIMBURSEMENTS",
        "authorized_official_telephone_number": "248-837-2092"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Judson Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Judson Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Warren, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; 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.