NPIMap

Organization Active NPI

Detroit Institute for Children

  • Specialist
  • Commerce Township, MI
National Provider Identifier
1770658239
Registry record updated Apr 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
DETROIT INSTITUTE FOR CHILDREN
Practice address
2075 E West Maple Rd
Suite B-204
Commerce Township, MI 48390-3816
Phone
(248) 926-0909
Fax
(313) 578-4520
NPI assigned
Nov 21, 2006
Organization subpart
Yes
Parent organization
DETROIT INSTITUTE FOR CHILDRENAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 4, 2013

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

Authorized official

Name
Mr. Mark Cleary
Title
President/Ceo
Phone
(313) 578-4503

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

2075 E West Maple Rd
Suite B-204
Commerce Township, MI 48390-3816

Mailing address

5447 Woodward Ave
Detroit, MI 48202-4009
Phone (313) 832-1100

Other names 1

  • The Abilities Center Doing business as

National Provider Directory

National Provider Directory
Part of
Detroit Institute Children

Locations

2075 E West Maple Rd
Ste B204
Commerce Township, MI 48390
Phone (248) 926-0909

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365033600000",
    "number": "1770658239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5447 WOODWARD AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482024009",
            "telephone_number": "313-832-1100",
            "fax_number": "313-578-4520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2075 E WEST MAPLE RD",
            "address_2": "SUITE B-204",
            "city": "COMMERCE TOWNSHIP",
            "state": "MI",
            "postal_code": "483903816",
            "telephone_number": "248-926-0909",
            "fax_number": "313-578-4520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DETROIT INSTITUTE FOR CHILDREN",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DETROIT INSTITUTE FOR CHILDREN",
        "enumeration_date": "2006-11-21",
        "last_updated": "2013-04-04",
        "status": "A",
        "authorized_official_last_name": "CLEARY",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "313-578-4503",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Abilities Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Commerce Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2013; 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.