Main Street Medical & Counseling Center PLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

4301083561 Issued in MI

Legal business name

MAIN STREET MEDICAL & COUNSELING CENTER PLC

Practice address

103 E. Main St.
Pinckney, MI 48169

Phone

(734) 474-1525

Fax

(734) 878-5103

NPI assigned

Apr 21, 2014

Last updated

Feb 6, 2015By 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

Dr. Mitchell Dennis Goldman, MD

Title

Owner

Phone

(734) 972-9184

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1398038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423180800000",
    "number": "1851711642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 E MAIN ST",
            "city": "PINCKNEY",
            "state": "MI",
            "postal_code": "481698095",
            "telephone_number": "734-474-1525",
            "fax_number": "734-878-5103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 E. MAIN ST.",
            "city": "PINCKNEY",
            "state": "MI",
            "postal_code": "48169",
            "telephone_number": "734-474-1525",
            "fax_number": "734-878-5103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN STREET MEDICAL & COUNSELING CENTER PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-21",
        "last_updated": "2015-02-06",
        "status": "A",
        "authorized_official_last_name": "GOLDMAN",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_middle_name": "DENNIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-972-9184",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MI",
            "license": "4301083561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Livingston Family Center
• Livingston Family Center
• Livingston Family Center
• Janet D Loesche, LMSW
• Christine Elizabeth Loynes, LBSW, QIDP, QMHP
• Main Street Optometry, Inc.
• Theresa Marcum
• Violet M Martin, MSW
• Dawn Drumm McCalla, LMSW
• Robin Lyn McDonald-Meinicke, MA

• Primary Care Clinic/Center in Pinckney, MI
• Providers in Pinckney, MI by specialty
• Primary Care Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2015; 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.