NPIMap

Organization Active NPI

Detroit East

  • Community/Behavioral Health Agency
  • Detroit, MI
National Provider Identifier
1760936926
Registry record updated Aug 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
6801015243 Issued in MI
Legal business name
DETROIT EAST
Practice address
8925 E Jefferson Ave
Apt 14 South
Detroit, MI 48214-4183
Phone
(313) 384-8449
NPI assigned
Aug 5, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2016

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

Authorized official

Name
Mrs. Elizabeth Cichon
Title
Coo
Phone
(313) 626-2321

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 6801015243 MI Primary

Addresses

Primary practice location

8925 E Jefferson Ave
Apt 14 South
Detroit, MI 48214-4183

Mailing address

8925 E Jefferson Ave
Apt 14 South
Detroit, MI 48214-4183
Phone (313) 384-8449

National Provider Directory

National Provider Directory
Tax ID family
Detroit East3 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.

NPI Registry JSON

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

{
    "created_epoch": "1470355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470355200000",
    "number": "1760936926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8925 E JEFFERSON AVE",
            "address_2": "APT 14 SOUTH",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482144183",
            "telephone_number": "313-384-8449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8925 E JEFFERSON AVE",
            "address_2": "APT 14 SOUTH",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482144183",
            "telephone_number": "313-384-8449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DETROIT EAST",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-05",
        "last_updated": "2016-08-05",
        "status": "A",
        "authorized_official_last_name": "CICHON",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "313-626-2321",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "6801015243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2016; 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.