NPIMap

Organization Active NPI

Arab American and Chaldean Council

Doing business as Acc

  • Public Health & General Preventive Medicine Physician
  • Dearborn, MI
National Provider Identifier
1861673543
Registry record updated Aug 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X
Legal business name
ARAB AMERICAN AND CHALDEAN COUNCIL
Doing business as
Acc
Practice address
13840 W Warren Ave
Dearborn, MI 48126-1425
Phone
(313) 581-7287
Fax
(313) 581-7318
NPI assigned
Nov 21, 2007
Last updated
Aug 26, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2020

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

Authorized official

Name
Carmen Sarafa, MA, LPCNPI 1447309463
Title
Director
Phone
(313) 893-6172

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health & General Preventive Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2083P0901X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

13840 W Warren Ave
Dearborn, MI 48126-1425

Mailing address

62 W 7 Mile Rd
Detroit, MI 48203-1967
Phone (313) 893-6172

Other identifiers 2

IdentifierTypeStateIssuer
3434247MedicaidMI
0H28585OtherMIBCBS

Other names 1

  • ACC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041008000669 MI Part B Supplier - Clinic/Group Practice 2365401874 Receives reassigned benefits from 11 practitioners
4 other NPIs on this enrollment
Practice locations: Dearborn, MI; Detroit, MI; Sterling Heights, MI; Troy, MI

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 13

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 13

NPI Registry JSON

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

{
    "created_epoch": "1195603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598400000000",
    "number": "1861673543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 W 7 MILE RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482031967",
            "telephone_number": "313-893-6172",
            "fax_number": "313-893-0064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13840 W WARREN AVE",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481261425",
            "telephone_number": "313-581-7287",
            "fax_number": "313-581-7318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARAB AMERICAN AND CHALDEAN COUNCIL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-21",
        "last_updated": "2020-08-26",
        "certification_date": "2020-08-26",
        "status": "A",
        "authorized_official_last_name": "SARAFA",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "313-893-6172",
        "authorized_official_credential": "MA, LPC"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3434247",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0H28585",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ACC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2020; 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.