Roger James Gregory, ICADC, ICCS

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

9605 West Grand River
Nardin Park Recovery Center
Detroit, MI 48204

Phone

(313) 867-8015

Fax

(313) 867-8040

NPI assigned

Mar 27, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Nardin Park Recovery Center,Inc.

  • Methadone Clinic
  • Detroit, MI
  • NPI 1033251269
  NPD (past)

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403049600000",
    "number": "1861510679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9605 WEST GRAND RIVER AVENUE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48204",
            "telephone_number": "313-834-5930",
            "fax_number": "313-834-4541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9605 WEST GRAND RIVER",
            "address_2": "NARDIN PARK RECOVERY CENTER",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48204",
            "telephone_number": "313-867-8015",
            "fax_number": "313-867-8040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREGORY",
        "first_name": "ROGER",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "ICADC, ICCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-27",
        "last_updated": "2014-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Gregory-Webb, LMSW
• Ariana Simione Gregory
• Dewitt Lee Gregory
• Kandace Gregory
• Melissa Jane Gregory, M.D.
• Shelby Gregory
• Sonya Gregory
• Jason David Grellmann
• Marla Gresham
• Samantha Gresham

• Addiction (Substance Use Disorder) Counselor in Detroit, MI
• Providers in Detroit, MI by specialty
• Addiction (Substance Use Disorder) Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2014; 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.