Organization Active NPI

McMillan Behavioral Health and Addiction Services PLLC

  • Clinical Social Worker
  • Ferndale, MI
National Provider Identifier
1962972349
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MCMILLAN BEHAVIORAL HEALTH AND ADDICTION SERVICES PLLC
Practice address
800 Hilton Rd Ste 1
Ferndale, MI 48220-2505
Phone
(248) 907-0247
NPI assigned
Nov 28, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

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

Authorized official

Name
Mark McMillan, LMSW
Title
Founder, Ceo
Phone
(248) 907-0247

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

800 Hilton Rd Ste 1
Ferndale, MI 48220-2505

Mailing address

800 Hilton Rd Ste 1
Ferndale, MI 48220-2505
Phone (248) 907-0247

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1543363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731974400000",
    "number": "1962972349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 HILTON RD STE 1",
            "city": "FERNDALE",
            "state": "MI",
            "postal_code": "482202505",
            "telephone_number": "248-907-0247",
            "fax_number": "248-907-0247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 HILTON RD STE 1",
            "city": "FERNDALE",
            "state": "MI",
            "postal_code": "482202505",
            "telephone_number": "248-907-0247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCMILLAN BEHAVIORAL HEALTH AND ADDICTION SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-28",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A",
        "authorized_official_last_name": "MCMILLAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "FOUNDER, CEO",
        "authorized_official_telephone_number": "248-907-0247",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ferndale, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; 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.