Organization Active NPI

Healing Haven, LLC

  • Developmental Disabilities Clinic/Center
  • Madison Heights, MI
National Provider Identifier
1790110187
Registry record updated Aug 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
License
6301011704 Issued in MI
Legal business name
HEALING HAVEN, LLC
Practice address
30821 Barrington St
Madison Heights, MI 48071-1871
Phone
(734) 355-2833
Fax
(248) 331-9919
NPI assigned
Sep 5, 2013
Last updated
Aug 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2025

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

Authorized official

Name
Mrs. Jamie Erin McGillivary, MS, LLP, BCBANPI 1467649061
Title
Owner
Phone
(734) 355-2833

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X 6301011704 MI Primary
Pediatric Occupational Therapist 225XP0200X NU
Speech-Language Pathologist 235Z00000X NU

Addresses

Primary practice location

30821 Barrington St
Madison Heights, MI 48071-1871

Mailing address

30821 Barrington St
Madison Heights, MI 48071-1871
Phone (248) 965-3916

Other practice location 1

30755 Barrington St
Madison Heights, MI 48071-1881
Phone (248) 965-3916

Other practice location 2

30685 Barrington St
Madison Heights, MI 48071-5111
Phone (248) 965-3916

Other practice location 3

30701 Barrington St Ste 125
Madison Heights, MI 48071-5107
Phone (734) 355-2833

Other practice location 4

31440 Northwestern Hwy Ste 180
Farmington Hills, MI 48334-5422
Phone (248) 965-3916

Other practice location 5

15420 19 Mile Rd
Clinton Township, MI 48038-6339
Phone (248) 965-3916

Other names 1

  • Healing Haven, PLLC Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180130000195 MI Part B Supplier - Clinic/Group Practice 9537429113 Receives reassigned benefits from 9 practitioners
Practice locations: Madison HTS, MI

National Provider Directory

National Provider Directory
Tax ID family
Healing Haven LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2583 Sunnyknoll Ave
Berkley, MI 48072
Phone (248) 410-2535

31440 Northwestern Hwy
Ste 180
Farmington Hills, MI 48334
Phone (248) 925-3767

31440 Northwestern Hwy
Ste AX180
Farmington Hills, MI 48334

30685 Barrington St
Madison Heights, MI 48071
Phone (248) 965-3916

30701 Barrington St
Madison Heights, MI 48071
Phone (248) 616-1170

30701 Barrington St
Ste 125
Madison Heights, MI 48071
Phone (734) 355-2833

30801 Barrington St
Madison Hts, MI 48071

Practitioners & affiliated clinicians

Practitioners 54

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.

View all 54

NPI Registry JSON

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

{
    "created_epoch": "1378339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755388800000",
    "number": "1790110187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30821 BARRINGTON ST",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480711871",
            "telephone_number": "248-965-3916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30821 BARRINGTON ST",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480711871",
            "telephone_number": "734-355-2833",
            "fax_number": "248-331-9919"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30755 Barrington St",
            "address_purpose": "LOCATION",
            "city": "Madison Heights",
            "state": "MI",
            "postal_code": "480711881",
            "country_code": "US",
            "telephone_number": "248-965-3916",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30685 Barrington St",
            "address_purpose": "LOCATION",
            "city": "Madison Heights",
            "state": "MI",
            "postal_code": "480715111",
            "country_code": "US",
            "telephone_number": "248-965-3916",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30701 Barrington St Ste 125",
            "address_purpose": "LOCATION",
            "city": "Madison Heights",
            "state": "MI",
            "postal_code": "480715107",
            "country_code": "US",
            "telephone_number": "734-355-2833",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "31440 Northwestern Hwy Ste 180",
            "address_purpose": "LOCATION",
            "city": "Farmington Hills",
            "state": "MI",
            "postal_code": "483345422",
            "country_code": "US",
            "telephone_number": "248-965-3916",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15420 19 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Clinton Township",
            "state": "MI",
            "postal_code": "480386339",
            "country_code": "US",
            "telephone_number": "248-965-3916",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HEALING HAVEN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-05",
        "last_updated": "2025-08-17",
        "certification_date": "2025-08-17",
        "status": "A",
        "authorized_official_last_name": "MCGILLIVARY",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "ERIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-355-2833",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS, LLP, BCBA"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "MI",
            "license": "6301011704",
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healing Haven, PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Madison Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2025; 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.