NPIMap

Organization Active NPI

Common Ground

  • Community/Behavioral Health Agency
  • Pontiac, MI
National Provider Identifier
1881033686
Registry record updated Jun 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
6801088896 Issued in MI
Legal business name
COMMON GROUND
Practice address
461 Huron, Ste. 100-Seminole
Pontiac, MI 48149
Phone
(248) 918-9649
NPI assigned
Jun 14, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2013

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

Authorized official

Name
Mr. Matthew Thomas Zimmer, LMSW
Title
Community Access and Liaison Manage
Phone
(248) 918-9649

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 6801088896 MI Primary

Addresses

Primary practice location

461 Huron, Ste. 100-Seminole
Pontiac, MI 48149

Mailing address

1410 S Telegraph Rd
Bloomfield Hills, MI 48302-0046
Phone (248) 918-9649

National Provider Directory

National Provider Directory
Tax ID family
Common Ground Santuary6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1371168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371168000000",
    "number": "1881033686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 S TELEGRAPH RD",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483020046",
            "telephone_number": "248-918-9649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "461 HURON, STE. 100-SEMINOLE",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "48149",
            "telephone_number": "248-918-9649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMON GROUND",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-14",
        "last_updated": "2013-06-14",
        "status": "A",
        "authorized_official_last_name": "ZIMMER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "COMMUNITY ACCESS AND LIAISON MANAGE",
        "authorized_official_telephone_number": "248-918-9649",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "6801088896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pontiac, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2013; 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.