Derrick Community Development & Human Services

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

DERRICK COMMUNITY DEVELOPMENT & HUMAN SERVICES

Practice address

5010 31St St
Detroit, MI 48210-2537

Phone

(313) 915-2644

NPI assigned

Sep 12, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Cassandra L Derrick, BSHCS

Title

President, Ceo

Phone

(313) 915-2644

Specialties & licenses 1

Addresses

Other names 1

• DCDHS Doing business as

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

{
    "created_epoch": "1252713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264636800000",
    "number": "1790018489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 252982",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483252982",
            "telephone_number": "313-915-2644",
            "fax_number": "248-661-5024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5010 31ST ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482102537",
            "telephone_number": "313-915-2644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERRICK COMMUNITY DEVELOPMENT & HUMAN SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-12",
        "last_updated": "2010-01-28",
        "status": "A",
        "authorized_official_last_name": "DERRICK",
        "authorized_official_first_name": "CASSANDRA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT, CEO",
        "authorized_official_telephone_number": "313-915-2644",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BSHCS"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DCDHS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael Derevensky, MD
• Aftab Ahmed Dero, MD
• Simmone Cora Arielle Derouen
• Brittany Nicole Derr
• Carol Lynn Derr, M.A.
• Marisa Leigh Derrick, CRNA
• Derrick'S Adult Foster Care Inc
• Derrick'S Adult Foster Care Inc
• Harold S Derstine, M.D.
• Brianna Paige Desa, DO

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Detroit, MI
• Providers in Detroit, MI by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2010; 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.