Potters Adult Center

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

POTTERS ADULT CENTER

Practice address

8255 2ND Ave
Detroit, MI 48202-2405

Phone

(313) 355-8333

Fax

(313) 557-5129

NPI assigned

Feb 27, 2014

Organization subpart

No

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

Authorized official

Name

Gwendolyn Turner

Title

Owner

Phone

(313) 574-0795

Specialties & licenses 4

Addresses

Locations

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

{
    "created_epoch": "1393459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427932800000",
    "number": "1760807770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18701 GRAND RIVER AVE",
            "address_2": "SUITE 207",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482232214",
            "telephone_number": "313-355-8333",
            "fax_number": "313-557-5129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8255 2ND AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482022405",
            "telephone_number": "313-355-8333",
            "fax_number": "313-557-5129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POTTERS ADULT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-27",
        "last_updated": "2015-04-02",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "GWENDOLYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-574-0795"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "221700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Art Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Recreation Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Joseph Poth, DO
• Sujji Potlapally, MD
• Lakshmi Bhavani Potluri, MD
• Carol Potter, MA, BCBA, LBA
• Debra Potter
• Chinmayee Potti, MD
• Bindu Potugari, M.D.,
• Ilona Pouget, CRNA
• Janet Maria Poulik, MD
• Brandy N Pouliot, LMSW

• Clinical Social Worker in Detroit, MI
• Providers in Detroit, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2015; 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.