NPIMap

Organization Active NPI

Mothers Friend Maternal Infant Support Services

  • Public Health & General Preventive Medicine Physician
  • Southfield, MI
National Provider Identifier
1891853479
Registry record updated Apr 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X
Legal business name
MOTHERS FRIEND MATERNAL INFANT SUPPORT SERVICES
Practice address
16250 Northland Dr
Suite 239
Southfield, MI 48075
Phone
(248) 559-5722
Fax
(248) 559-5622
NPI assigned
Dec 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2019

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

Authorized official

Name
Ms. Dashuna Relieu Johnson, RN
Title
RN Coordinator/Ceo
Phone
(248) 559-5722

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health & General Preventive Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2083P0901X Primary

Addresses

Primary practice location

16250 Northland Dr
Suite 239
Southfield, MI 48075

Mailing address

16250 Northland Dr
Suite 239
Southfield, MI 48075
Phone (248) 559-5722

Other identifiers 1

IdentifierTypeStateIssuer
4556235MedicaidMI

National Provider Directory

National Provider Directory
Tax ID family
Mother'S Friend Maternalinfant Support Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556150400000",
    "number": "1891853479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16250 NORTHLAND DR",
            "address_2": "SUITE 239",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "48075",
            "telephone_number": "248-559-5722",
            "fax_number": "248-559-5622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16250 NORTHLAND DR",
            "address_2": "SUITE 239",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "48075",
            "telephone_number": "248-559-5722",
            "fax_number": "248-559-5622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOTHERS FRIEND MATERNAL INFANT SUPPORT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2019-04-25",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "DASHUNA",
        "authorized_official_middle_name": "RELIEU",
        "authorized_official_title_or_position": "RN COORDINATOR/CEO",
        "authorized_official_telephone_number": "248-559-5722",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4556235",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2019; 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.