Private Notes 360 LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

PRIVATE NOTES 360 LLC

Practice address

39111 6 Mile Rd
Livonia, MI 48152-3926

Phone

(248) 805-1441

NPI assigned

Feb 4, 2022

Last updated

Apr 6, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Dalal Berry, LMSWNPI 1760826176

Title

Social Worker

Phone

(313) 485-7000

Specialties & licenses 1

Addresses

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.

• Dalal Berry, LLMSW

  • Clinical Social Worker
  • Southfield, MI
  • NPI 1760826176
  NPD Authorized official

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

{
    "created_epoch": "1643932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649203200000",
    "number": "1952055451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39111 6 MILE RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481523926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39111 6 MILE RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481523926",
            "telephone_number": "248-805-1441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIVATE NOTES 360 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-04",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "DALAL",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "313-485-7000",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Primal Recovery PT & Performance
• Prime Dental Group PLLC
• Grant Austin Prior, DDS
• Priority One Health Management
• Miranda Pritchard
• Pro Therapy Center, PLLC (Grace Gates)
• Probity Therapy Care
• Kelly Marie Procailo, PHARMD
• Prodigious Staffing
• Professional Breathing Associates Inc (Medwest Medical Supply)

• Mental Health Clinic/Center (Including Community Mental Health Center) in Livonia, MI
• Providers in Livonia, MI by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2022; 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.