Organization Active NPI

Mary'S Children Family Center

  • Day Training/Habilitation Specialist
  • Clawson, MI
National Provider Identifier
1780898064
Registry record updated Jun 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Day Training/Habilitation SpecialistTaxonomy code 373H00000X
Legal business name
MARY'S CHILDREN FAMILY CENTER
Practice address
495 E 14 Mile Rd
Clawson, MI 48017-2111
Phone
(248) 307-0242
NPI assigned
May 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2017

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

Authorized official

Name
Mrs. Lindsey Wichmann
Title
Administrator
Phone
(248) 307-0242

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X MI
Day Training/Habilitation SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 373H00000X Primary

Addresses

Primary practice location

495 E 14 Mile Rd
Clawson, MI 48017-2111

Mailing address

495 E 14 Mile Rd
Clawson, MI 48017-2111
Phone (248) 307-0242

National Provider Directory

National Provider Directory

Locations

495 E 14 Mile Rd
Clawson, MI 48017
Phone (248) 307-0242

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498694400000",
    "number": "1780898064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 E 14 MILE RD",
            "city": "CLAWSON",
            "state": "MI",
            "postal_code": "480172111",
            "telephone_number": "248-307-0242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 E 14 MILE RD",
            "city": "CLAWSON",
            "state": "MI",
            "postal_code": "480172111",
            "telephone_number": "248-307-0242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY'S CHILDREN FAMILY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2017-06-29",
        "status": "A",
        "authorized_official_last_name": "WICHMANN",
        "authorized_official_first_name": "LINDSEY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "248-307-0242",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "373H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Day Training/Habilitation Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clawson, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2017; 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.