Caleb'S Kids

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

CALEB'S KIDS

Practice address

2470 Collingwood St Ste 206
Detroit, MI 48206-1500

Phone

(313) 437-1609

NPI assigned

Oct 27, 2020

Organization subpart

No

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

Authorized official

Name

Kiesha JacksonNPI 1477127611

Title

Executive Director

Phone

(313) 437-1609

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Kiesha Jackson

  • Mental Health Counselor
  • Inkster, MI
  • NPI 1477127611
  NPD Authorized official

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

{
    "created_epoch": "1603756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620864000000",
    "number": "1780284190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22200 W 11 MILE RD UNIT 3663",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480377107",
            "telephone_number": "313-437-1609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2470 COLLINGWOOD ST STE 206",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482061500",
            "telephone_number": "313-437-1609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALEB'S KIDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-27",
        "last_updated": "2021-05-13",
        "certification_date": "2021-05-13",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "KIESHA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "313-437-1609"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheila Marie Caldwell, FNP-BC
• Tamieka Caldwell, MA, TLLP
• Tonya Caldwell
• Betty Caleb
• Shayna L Caleb, LLMSW
• Carlo Calemme, R.PH.
• Angel Calhoun
• Avery Calhoun
• Daniel E Calhoun, MSW
• Eric Bernard Calhoun, CACM

• Mental Health Clinic/Center (Including Community Mental Health Center) in Detroit, MI
• Providers in Detroit, MI by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2021; 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.