Apex Behavioral Health Western Wayne
Organization Active NPI Clinical Social Worker · Westland, MI
NPI 1962779710 · NPPES record last updated Nov 22, 2011
Key facts
- NPI
- 1962779710
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Legal business name
- APEX BEHAVIORAL HEALTH WESTERN WAYNE
- Practice address
- 1547 S Wayne Rd
Westland, MI 48186-5436 - Phone
- (734) 729-3133
- NPI assigned
- Nov 22, 2011
- Organization subpart
- No
Authorized official
- Name
- Jill Blackson, LMSQ
- Title
- Coordinator
- Phone
- (734) 405-0175
Practitioners 11
-
Thomas Edgar Johnson, LMSW
-
Marie Ann Neid, L.M.S.W.
-
Tae Won Park, M.D.
-
Kathleen Tayeh, LMSW
-
Michael Lovell Tucker, LMSW,LPC
-
Keon Chang, M.D.
-
James Knowles, PH.D.
-
Kelly Rae Smith, LMSW
-
Randi Murav, LMSW
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120411000775 | MI | Part B Supplier - Clinic/Group Practice | 4183885593 |
Receives reassigned benefits from 10 practitioners Practice locations: Westland, MI |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | Yes |
Addresses
Primary practice location
1547 S Wayne Rd
Westland, MI 48186-5436
Mailing address
1547 S Wayne Rd
Westland, MI 48186-5436
Phone (734) 729-3133
Other providers in Westland, MI
- Another Dose of Hope Counseling and Consultation PLLC
- Anrex Home Care, Inc.
- Chinyere Anyanwu
- Aya Aoun
- Apex Behavioral Health
- Apex Behavioral Health Western-Wayne
- Apex Behavioral Health,PLLC
- Apex Medical LLC
- Donna Apollinari
- Kelli Arai
All providers in Westland, MI · Clinical Social Worker in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 22, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.