Active NPI
Rise Children'S Center
- Pediatric Neurodevelopmental Disabilities Physician
- Southfield, MI
National Provider Identifier
1770235293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Neurodevelopmental Disabilities Physician
- Legal business name
- RISE CHILDREN'S CENTER
- Practice address
- 18161 W 13 Mile Rd
Southfield, MI 48076-1113 - Phone
- (313) 802-6645
- NPI assigned
- Jan 25, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Hassan Hassan-Khalil Abdallah
- Title
- Clinical Director
- Phone
- (313) 802-6645
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental - Behavioral Pediatrics Physician | 2080P0006X | |||
| Pediatric Neurodevelopmental Disabilities Physician | 2080P0008X | Primary | ||
| Pediatric Occupational Therapist | 225XP0200X | |||
| Speech-Language Pathologist | 235Z00000X |
Addresses
Primary practice location
18161 W 13 Mile Rd
Southfield, MI 48076-1113
Mailing address
20150 Plantation LN
Beverly Hills, MI 48025-5050
Phone (313) 338-4850
National Provider Directory
National Provider DirectoryLocations
18161 W 13 Mile Rd
Southfield, MI 48076
Phone (248) 480-4183
18161 W 13 Mile Rd
Ste B
Southfield, MI 48076
Phone (248) 382-8283
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643068800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1643068800000",
"number": "1770235293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20150 PLANTATION LN",
"city": "BEVERLY HILLS",
"state": "MI",
"postal_code": "480255050",
"telephone_number": "313-338-4850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18161 W 13 MILE RD",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480761113",
"telephone_number": "313-802-6645"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RISE CHILDREN'S CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2022-01-25",
"last_updated": "2022-01-25",
"certification_date": "2022-01-25",
"status": "A",
"authorized_official_last_name": "ABDALLAH",
"authorized_official_first_name": "HASSAN",
"authorized_official_middle_name": "HASSAN-KHALIL",
"authorized_official_title_or_position": "CLINICAL DIRECTOR",
"authorized_official_telephone_number": "313-802-6645"
},
"taxonomies": [
{
"code": "2080P0006X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics, Developmental - Behavioral Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "2080P0008X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics, Neurodevelopmental Disabilities",
"state": null,
"license": null,
"primary": true
},
{
"code": "225XP0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist, Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.