Organization Active NPI

Associated Clinicians of Michigan LLC

  • Multi-Specialty Clinic/Center
  • Warren, MI
National Provider Identifier
1972161727
Registry record updated Apr 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
ASSOCIATED CLINICIANS OF MICHIGAN LLC
Practice address
30521 Schoenherr Rd Ste 200
Warren, MI 48088
Phone
(313) 404-1195
NPI assigned
Jun 5, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2021

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

Authorized official

Name
Jane Bays, LMSW, CAADCNPI 1053728030
Title
Director of Social Work
Phone
(248) 690-6450

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

30521 Schoenherr Rd Ste 200
Warren, MI 48088

Mailing address

30521 Schoenherr Rd Ste 200
Warren, MI 48088-3161
Phone (313) 404-1195

Other practice location 1

25129 Dequindre Rd Ste 2
Madison Heights, MI 48071-4238
Phone (248) 470-8918

Other practice location 2

25129 Dequindre Rd Ste 2
Madison Heights, MI 48071-4238
Phone (248) 470-8918

National Provider Directory

National Provider Directory

Locations

25129 Dequindre Rd
Ste 2
Madison Heights, MI 48071
Phone (248) 470-8918

30521 Schoenherr Rd
Ste 200
Warren, MI 48088
Phone (313) 404-1195

Practitioners & affiliated clinicians

Practitioners 1

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": "1559692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618963200000",
    "number": "1972161727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30521 SCHOENHERR RD STE 200",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480883161",
            "telephone_number": "313-404-1195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30521 SCHOENHERR RD STE 200",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "48088",
            "telephone_number": "313-404-1195"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25129 Dequindre Rd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Madison Heights",
            "state": "MI",
            "postal_code": "480714238",
            "country_code": "US",
            "telephone_number": "248-470-8918",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25129 Dequindre Rd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Madison Heights",
            "state": "MI",
            "postal_code": "480714238",
            "country_code": "US",
            "telephone_number": "248-470-8918",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ASSOCIATED CLINICIANS OF MICHIGAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-05",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A",
        "authorized_official_last_name": "BAYS",
        "authorized_official_first_name": "JANE",
        "authorized_official_title_or_position": "DIRECTOR OF SOCIAL WORK",
        "authorized_official_telephone_number": "248-690-6450",
        "authorized_official_credential": "LMSW, CAADC"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2021; 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.