NPIMap

Organization Active NPI

Wheel of Life Inc

  • Clinical Social Worker
  • Plymouth, MI
National Provider Identifier
1760663033
Registry record updated Nov 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801033753 Issued in MI
Legal business name
WHEEL OF LIFE INC
Practice address
598 N Mill St
Plymouth, MI 48170-1420
Phone
(734) 459-1179
NPI assigned
Nov 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2007

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

Authorized official

Name
Ms. Barbara R Smith, M.S.W.
Title
Owner
Phone
(734) 459-1179

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 6801033753 MI Primary

Addresses

Primary practice location

598 N Mill St
Plymouth, MI 48170-1420

Mailing address

598 N Mill St
Plymouth, MI 48170-1420
Phone (734) 459-1179

Other identifiers 1

IdentifierTypeStateIssuer
8008975280OtherMIBCBS OF MICHIGAN

National Provider Directory

National Provider Directory

Locations

598 N Mill St
Plymouth, MI 48170
Phone (734) 459-1179

NPI Registry JSON

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

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195084800000",
    "number": "1760663033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "598 N MILL ST",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481701420",
            "telephone_number": "734-459-1179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "598 N MILL ST",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481701420",
            "telephone_number": "734-459-1179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHEEL OF LIFE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-15",
        "last_updated": "2007-11-15",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-459-1179",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.S.W."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801033753",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MICHIGAN",
            "identifier": "8008975280",
            "state": "MI"
        }
    ],
    "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 Nov 15, 2007; 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.