Wayne County Therapeutic, Inc.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Legal business name

WAYNE COUNTY THERAPEUTIC, INC.

Practice address

29510 7 Mile Rd
Livonia, MI 48152-1910

Phone

(248) 427-9525

Fax

(248) 427-9528

NPI assigned

Jan 16, 2007

Organization subpart

No

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

Authorized official

Name

Miss Bernice Alberta Brown, COTA

Title

Owner

Phone

(248) 354-6434

Specialties & licenses 2

Addresses

Tax ID family

Wayne County Therapeutic Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Wayne County Therapeutic, Inc.

  • Occupational Therapist
  • Livonia, MI
  • NPI 1588715411
  NPD tax ID
• Wayne County Therapeutic, Inc.

  • Clinical Social Worker
  • Livonia, MI
  • NPI 1841340478
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alice Gail Moon, MSRD, PAC

  • Registered Dietitian
  • Livonia, MI
  • NPI 1790724011
  NPD (past)
• Alicia M Jennings, MD

  • Internal Medicine Physician
  • Villa Rica, GA
  • NPI 1366405037
  NPD (past)

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1760533699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29510 7 MILE RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481521910",
            "telephone_number": "248-427-9525",
            "fax_number": "248-427-9528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29510 7 MILE RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481521910",
            "telephone_number": "248-427-9525",
            "fax_number": "248-427-9528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNE COUNTY THERAPEUTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "BERNICE",
        "authorized_official_middle_name": "ALBERTA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-354-6434",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "COTA"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corinne Waucaush
• Kristen Waun
• Wayne Center
• Wayne County Therapeutic, Inc.
• Wayne County Therapeutic, Inc.
• Wayne County Therapeutic, Inc.
• Wayne Kidney Specialist PLC
• Wce, LLC (Coop Optical)
• We Care Urgent Care PLLC
• Jessica Marie Weathers, LMSW

• Medical Physician Assistant in Livonia, MI
• Providers in Livonia, MI by specialty
• Medical Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.