Metropolitan Arts Complex Inc

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

6401010525 Issued in MI

Legal business name

METROPOLITAN ARTS COMPLEX INC

Practice address

11000 W. McNichols
Suite B3 & B4
Detroit, MI 48221

Phone

(313) 863-5554

Fax

(313) 863-4711

NPI assigned

Mar 7, 2007

Organization subpart

Yes

Parent organization

METROPOLITAN ARTS COMPLEX INC.As reported in NPPES

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

Authorized official

Name

Mrs. Amelita Levon Mandingo, PHD, ADS, CHT, CADCM

Title

Executive Director & Clinician

Phone

(313) 863-5554

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Metro Arts Therapy Services Doing business as

Part of

Metropolitan Arts Complex Inc

Locations

Practitioners 1

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

• Kevin Christopher Krouse I, CADC-II, DOT/SAP

  • Community Health Worker
  • Detroit, MI
  • NPI 1184863730

  Addiction (Substance Use Disorder)

  NPD (past)

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540512000000",
    "number": "1952431777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11000 W. MCNICHOLS",
            "address_2": "SUITE B3 & B4",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482212357",
            "telephone_number": "313-863-5554",
            "fax_number": "313-863-4711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11000 W. MCNICHOLS",
            "address_2": "SUITE B3 & B4",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48221",
            "telephone_number": "313-863-5554",
            "fax_number": "313-863-4711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROPOLITAN ARTS COMPLEX INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "METROPOLITAN ARTS COMPLEX INC.",
        "enumeration_date": "2007-03-07",
        "last_updated": "2018-10-26",
        "status": "A",
        "authorized_official_last_name": "MANDINGO",
        "authorized_official_first_name": "AMELITA",
        "authorized_official_middle_name": "LEVON",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR & CLINICIAN",
        "authorized_official_telephone_number": "313-863-5554",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PHD, ADS, CHT, CADCM"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "6401010525",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401010525",
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "MI",
            "license": "6401010525",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31-3204514",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Metro Arts Therapy Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Metro Arts Therapy Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Metro T'S Transportation, LLC
• Metro Women'S Health II, PLLC
• Metro Womens Health PLLC
• Metrocare Health Services
• Metropolitan Agency for Retarded
• Metropolitan Counseling Center, LLC
• Metropolitan Counseling Services
• Keith M Metz, M.D.
• Abhishek Mewada, MD
• Stephanie Mewes

• Adult Mental Health Clinic/Center in Detroit, MI
• Providers in Detroit, MI by specialty
• Adult Mental Health Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2018; 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.