Custom Care Team, Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

CUSTOM CARE TEAM, INC.

Practice address

1915 Baldwin Ave
Pontiac, MI 48340-1173

Phone

(734) 779-9799

Fax

(734) 779-9796

NPI assigned

Jul 22, 2014

Organization subpart

Yes

Parent organization

THE MEDICAL TEAM, INC.As reported in NPPES

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

Authorized official

Name

Ms. Linda V. Harvey, BSN, RN

Title

Director of Program and Policy Deve

Phone

(210) 270-1355

Specialties & licenses 1

Addresses

Other names 1

• Med Team Therapy Doing business as

Part of

The Medical Team Inc

Locations

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

{
    "created_epoch": "1405987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411084800000",
    "number": "1972910933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1902 CAMPUS COMMONS DR STE 650",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201911589",
            "telephone_number": "703-390-2300",
            "fax_number": "703-390-5819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1915 BALDWIN AVE",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483401173",
            "telephone_number": "734-779-9799",
            "fax_number": "734-779-9796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUSTOM CARE TEAM, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE MEDICAL TEAM, INC.",
        "enumeration_date": "2014-07-22",
        "last_updated": "2014-09-19",
        "status": "A",
        "authorized_official_last_name": "HARVEY",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "V.",
        "authorized_official_title_or_position": "DIRECTOR OF PROGRAM AND POLICY DEVE",
        "authorized_official_telephone_number": "210-270-1355",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BSN, RN"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Med Team Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vanessa Cruz
• Yolanda Lee Cunningham
• Aleta Blanche Curry, LLPC
• Lolita Curry, RN
• Ellen Maureen Cushing, BA
• Dajaneke Lashay Cutting
• Natasha D'Agostini, M.D.
• D2 Dental of Michigan, P.C.
• Yagnya Darshit Dalal
• Monica Dallo, APRN, FNP-C

• Specialist in Pontiac, MI
• Providers in Pontiac, MI by specialty
• Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2014; 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.