NPIMap

Organization Active NPI

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  • Substance Abuse Rehabilitation Facility
  • Detroit, MI
National Provider Identifier
1871866475
Registry record updated Feb 14, 2012
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Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
6401005925 Issued in MI
Legal business name
POSITIVE IMAGES
Practice address
13336 E.Warren
Detroit, MI 48229
Phone
(313) 822-6940
Fax
(313) 822-0176
NPI assigned
Feb 14, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2012

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

Authorized official

Name
Ms. Maisha Kenyatta, LMSW,CAACNPI 1629157474
Title
Executive Director
Phone
(313) 822-6940

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
Substance Abuse Rehabilitation Facility 324500000X 6401005925 MI Primary

Addresses

Primary practice location

13336 E.Warren
Detroit, MI 48229

Mailing address

13336 E.Warren
Detroit, MI 48229

National Provider Directory

National Provider Directory
Tax ID family
Positive Images5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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": "1329177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329177600000",
    "number": "1871866475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13336 E.WARREN",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13336 E.WARREN",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48229",
            "telephone_number": "313-822-6940",
            "fax_number": "313-822-0176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POSITIVE IMAGES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-14",
        "last_updated": "2012-02-14",
        "status": "A",
        "authorized_official_last_name": "KENYATTA",
        "authorized_official_first_name": "MAISHA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "313-822-6940",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMSW,CAAC"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "MI",
            "license": "6401005925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Feb 14, 2012; 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.