Pontiac Children's Services Inc

Primary specialty

Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X

License

C-1630279470 Issued in MI

Legal business name

PONTIAC CHILDREN'S SERVICES INC

Practice address

160 W Huron St
Pontiac, MI 48341-1414

Phone

(248) 334-3100

Fax

(248) 334-3112

NPI assigned

Jun 6, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Deborah Ferguson, M.D.

Title

Psychiatric

Phone

(248) 877-8559

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801835301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 W HURON ST",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483411414",
            "telephone_number": "248-334-3100",
            "fax_number": "248-334-3112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 W HURON ST",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483411414",
            "telephone_number": "248-334-3100",
            "fax_number": "248-334-3112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PONTIAC CHILDREN'S SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FERGUSON",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "PSYCHIATRIC",
        "authorized_official_telephone_number": "248-877-8559",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "MI",
            "license": "C-1630279470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joy Ann Pollard, ACNP
• Christopher Polsinelli, AT, ATC
• Damaris Ponce
• Pontiac Anesthesia Care Associates, PLLC
• Pontiac Associates in Obstetrics & Gynecology, P.C.
• Pontiac General Hospital & Medical Center (North Oakland Medical Center)
• Pontiac General Hospital & Medical Center (North Oakland Medical Center)
• Pontiac General Hospital & Medical Center (North Oakland Medical Center)
• Pontiac General Hospital & Medical Center (North Oakland Medical Center)
• Pontiac General Hospital & Medical Center (North Oakland Medical Center)

• Cognitive & Behavioral Psychologist in Pontiac, MI
• Providers in Pontiac, MI by specialty
• Cognitive & Behavioral Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.