NPIMap

Organization Active NPI

Detroit Central City Community Mental Health, Inc.

Doing business as Central City Integrated Health

  • Federally Qualified Health Center (FQHC)
  • Detroit, MI
National Provider Identifier
1861813685
Registry record updated Dec 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
DETROIT CENTRAL CITY COMMUNITY MENTAL HEALTH, INC.
Doing business as
Central City Integrated Health
Practice address
10 Peterboro St
Detroit, MI 48201-2722
Phone
(313) 578-6123
NPI assigned
Dec 20, 2013
Last updated
Dec 9, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2022

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

Authorized official

Name
Dr. Kimberly Farrow, M.D.NPI 1982930038
Title
Interim President & Ceo
Phone
(313) 733-1302

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X MI Primary

Addresses

Primary practice location

10 Peterboro St
Detroit, MI 48201-2722

Mailing address

10 Peterboro St
Detroit, MI 48201-2722
Phone (313) 831-3160

Other names 1

  • Central City Integrated Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101109001334 MI Part B Supplier - Clinic/Group Practice 3274728829 Receives reassigned benefits from 34 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Detroit, 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 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1387497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670544000000",
    "number": "1861813685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 PETERBORO ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012722",
            "telephone_number": "313-831-3160",
            "fax_number": "313-826-0567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 PETERBORO ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012722",
            "telephone_number": "313-578-6123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DETROIT CENTRAL CITY COMMUNITY MENTAL HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-20",
        "last_updated": "2022-12-09",
        "certification_date": "2020-12-15",
        "status": "A",
        "authorized_official_last_name": "FARROW",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "INTERIM PRESIDENT & CEO",
        "authorized_official_telephone_number": "313-733-1302",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central City Integrated Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Central City Integrated Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2022; 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.