Organization Active NPI

Centria

  • Community/Behavioral Health Agency
  • Taylor, MI
National Provider Identifier
1992153357
Registry record updated May 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CENTRIA
Practice address
5963 John Daly St
Taylor, MI 48180-1055
Phone
(616) 308-7151
NPI assigned
May 26, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2016

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

Authorized official

Name
Samuel Jay Naves, MASTER IN PA
Title
Technician
Phone
(616) 308-7151

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X MI Primary

Addresses

Primary practice location

5963 John Daly St
Taylor, MI 48180-1055

Mailing address

5963 John Daly St
Taylor, MI 48180-1055
Phone (616) 308-7151

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1464220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464220800000",
    "number": "1992153357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5963 JOHN DALY ST",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481801055",
            "telephone_number": "616-308-7151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5963 JOHN DALY ST",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481801055",
            "telephone_number": "616-308-7151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-26",
        "last_updated": "2016-05-26",
        "status": "A",
        "authorized_official_last_name": "NAVES",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "TECHNICIAN",
        "authorized_official_telephone_number": "616-308-7151",
        "authorized_official_credential": "MASTER IN PA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taylor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2016; 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.