NPIMap

Organization Active NPI

The Brutwood Group LLC

Doing business as Ellie Mental Health

  • Clinical Social Worker
  • Livonia, MI
National Provider Identifier
1770294308
Registry record updated Aug 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
THE BRUTWOOD GROUP LLC
Doing business as
Ellie Mental Health
Practice address
39000 7 Mile Rd Ste 2300
Livonia, MI 48152-1006
Phone
(734) 252-8589
Fax
(734) 415-8427
NPI assigned
Dec 5, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2023

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

Authorized official

Name
Katherine Wood
Title
Owner
Phone
(734) 276-9025

Specialties & licenses 1

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

Addresses

Primary practice location

39000 7 Mile Rd Ste 2300
Livonia, MI 48152-1006

Mailing address

22587 Nona St
Dearborn, MI 48124-2737

Other names 1

  • Ellie Mental Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231002001083 MI Part B Supplier - Clinic/Group Practice 9830543446 Receives reassigned benefits from 4 practitioners
Practice locations: Livonia, MI

National Provider Directory

National Provider Directory

Locations

39000 7 Mile Rd
Ste Tbd
Livonia, MI 48152

39000 7 Mile Rd
Ste 2300
Livonia, MI 48152
Phone (734) 252-8589

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1670198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691625600000",
    "number": "1770294308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22587 NONA ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39000 7 MILE RD STE 2300",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481521006",
            "telephone_number": "734-252-8589",
            "fax_number": "734-415-8427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BRUTWOOD GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-05",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-276-9025"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ellie Mental Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ellie Mental Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.