NPIMap

Organization Active NPI

Ascension Eastwood Behavioral Health

  • Addiction (Substance Use Disorder) Counselor
  • Troy, MI
National Provider Identifier
1992168983
Registry record updated Nov 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
ASCENSION EASTWOOD BEHAVIORAL HEALTH
Practice address
2800 Livernois Rd Ste 500
Troy, MI 48083-1219
Phone
(586) 753-0400
Fax
(586) 753-0404
NPI assigned
Mar 29, 2016
Organization subpart
Yes
Parent organization
EASTWOOD COMMUNITY CLINICSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 15, 2023

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

Authorized official

Name
Sarah Starkel
Title
Supervisor
Phone
(248) 680-8121

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X MI
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X MI Primary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X MI
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X MI
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X MI

Addresses

Primary practice location

2800 Livernois Rd Ste 500
Troy, MI 48083-1219

Mailing address

PO Box 19117
Belfast, ME 04915-4086
Phone (248) 680-8000

Other names 1

  • Eastwood Clinics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Eastwood Clinic23 organizations share this tax ID, including this one
Part of
Eastwood Clinic

Other organizations with this tax ID 22

Organizations that report the same tax identification number in the National Provider Directory.

View all 22

Locations

11270 E 13 Mile Rd
Ste 2
Warren, MI 48093
Phone (586) 295-9278

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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": "1459209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700006400000",
    "number": "1992168983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19117",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154086",
            "telephone_number": "248-680-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 LIVERNOIS RD STE 500",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480831219",
            "telephone_number": "586-753-0400",
            "fax_number": "586-753-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASCENSION EASTWOOD BEHAVIORAL HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EASTWOOD COMMUNITY CLINICS",
        "enumeration_date": "2016-03-29",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A",
        "authorized_official_last_name": "STARKEL",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "248-680-8121"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": null,
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "MI",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eastwood Clinics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Eastwood Clinics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; 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.