Northeast Guidance Center

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

NORTHEAST GUIDANCE CENTER

Practice address

12800 E Warren Ave
Detroit, MI 48215-2601

Phone

(313) 824-8000

Fax

(313) 824-5589

NPI assigned

Jul 1, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Sue Nederlander

Title

Chief Financial Office

Phone

(313) 824-5542

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 3

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

• Julia Serlin

  • Student in an Organized Health Care Education/Training Program
  • Detroit, MI
  • NPI 1184505927
  NPD
• Shawanna Ronique Walker

  • Case Manager/Care Coordinator
  • Detroit, MI
  • NPI 1346121100
  NPD
• Natasha Marie Ahmed

  • Peer Specialist
  • Waterford, MI
  • NPI 1245917475
  NPD (past)

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311638400000",
    "number": "1922037134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 CONNER AVE",
            "address_2": "BLDG A",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482152061",
            "telephone_number": "313-308-1400",
            "fax_number": "313-308-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12800 E WARREN AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482152601",
            "telephone_number": "313-824-8000",
            "fax_number": "313-824-5589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST GUIDANCE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2011-07-26",
        "status": "A",
        "authorized_official_last_name": "NEDERLANDER",
        "authorized_official_first_name": "SUE",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICE",
        "authorized_official_telephone_number": "313-824-5542",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104682983",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "21-3119549",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD MI",
            "identifier": "750910874",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Northeast Guidance Center
• Northeast Guidance Center
• Northeast Guidance Center
• Northeast Guidance Center
• Northeast Guidance Center
• Northend Village Non-Profit
• Natash Nacreah Northern, R.N
• Kimberly Northington
• Northrop Loving Care
• Barbara Ann Northrup, LMSW

• Psychiatry Physician in Detroit, MI
• Providers in Detroit, MI by specialty
• Psychiatry Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2011; 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.