NPIMap

Organization Active NPI

Neighborhood Service Organization

  • Community/Behavioral Health Agency
  • Detroit, MI
National Provider Identifier
1891825808
Registry record updated Apr 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
NEIGHBORHOOD SERVICE ORGANIZATION
Practice address
882 Oakman Blvd
Ste. C
Detroit, MI 48238-3710
Phone
(313) 961-4890
Fax
(313) 867-3675
NPI assigned
Mar 7, 2007
Last updated
Apr 15, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2020

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

Authorized official

Name
Linda Joyce Little
Title
President & Ceo
Phone
(313) 961-4890

Specialties & licenses 1

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

Addresses

Primary practice location

882 Oakman Blvd
Ste. C
Detroit, MI 48238-3710

Mailing address

882 Oakman Blvd
Ste. C
Detroit, MI 48238-3710
Phone (313) 961-4890

Other identifiers 18

IdentifierTypeStateIssuer
4652438MedicaidMI
4678149MedicaidMI
4373960MedicaidMI
4675817MedicaidMI
13493OtherMIDETROIT WAYNE ID NUMBER
3273262MedicaidMI
600501OtherMICONSUMERLINK PROVIDER NUM
4512769MedicaidMI
0P03970OtherMIMEDICARE PIN NUMBER
3273280MedicaidMI
3273370MedicaidMI
4354472MedicaidMI
3273271MedicaidMI
4465471MedicaidMI
053720OtherMICARELINK PROVIDER NUMBER
3273315MedicaidMI
4161019MedicaidMI
669973OtherMICONSUMERLINK PROVIDER NUM

Other names 1

  • NSO Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040720001455 MI Part B Supplier - Clinic/Group Practice 7113907387 Receives reassigned benefits from 50 practitioners
Practice locations: Detroit, MI; Westland, MI

National Provider Directory

National Provider Directory

Locations

220 Bagley St
Ste 1100
Detroit, MI 48226
Phone (313) 961-7990

220 Bagley St
Ste 1200
Detroit, MI 48226
Phone (313) 961-7990

3430 3rd St
Detroit, MI 48201
Phone (313) 832-3100

3436 Mack Ave
Nso Detroit Healthy Housing
Detroit, MI 48207
Phone (313) 832-3100

40 Hague St
Ste 205
Detroit, MI 48202
Phone (313) 875-5521

8600 Woodward Ave
Detroit, MI 48202
Phone (313) 875-7601

35180 Nankin Blvd
Ste 205
Westland, MI 48185
Phone (313) 875-7601

Practitioners & affiliated clinicians

Practitioners 103

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 103

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586908800000",
    "number": "1891825808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "882 OAKMAN BLVD",
            "address_2": "STE. C",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482383710",
            "telephone_number": "313-961-4890",
            "fax_number": "313-867-3675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "882 OAKMAN BLVD",
            "address_2": "STE. C",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482383710",
            "telephone_number": "313-961-4890",
            "fax_number": "313-867-3675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEIGHBORHOOD SERVICE ORGANIZATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2020-04-15",
        "certification_date": "2020-04-15",
        "status": "A",
        "authorized_official_last_name": "LITTLE",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "JOYCE",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "313-961-4890"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4652438",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4678149",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4373960",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4675817",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DETROIT WAYNE ID NUMBER",
            "identifier": "13493",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3273262",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONSUMERLINK PROVIDER NUM",
            "identifier": "600501",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4512769",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN NUMBER",
            "identifier": "0P03970",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3273280",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3273370",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4354472",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3273271",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4465471",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARELINK PROVIDER NUMBER",
            "identifier": "053720",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3273315",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4161019",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONSUMERLINK PROVIDER NUM",
            "identifier": "669973",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NSO",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "NSO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Apr 15, 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.