NPIMap

Organization Active NPI

Moriah, Incorporated

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Ann Arbor, MI
National Provider Identifier
1992308977
Registry record updated Nov 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
MORIAH, INCORPORATED
Practice address
3879 Packard St Unit B
Ann Arbor, MI 48108-2011
Phone
(734) 412-6485
NPI assigned
Nov 20, 2020
Organization subpart
Yes
Parent organization
MORIAH, INCORPORATEDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 20, 2020

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

Authorized official

Name
Tanja Taddonio
Title
Billing and Collections MGR
Phone
(734) 412-6485

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103K00000X
Addiction (Substance Use Disorder) PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TA0400X
Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 104100000X
Addiction Psychiatry PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084P0802X
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

3879 Packard St Unit B
Ann Arbor, MI 48108-2011

Mailing address

3200 E Eisenhower Pkwy
Ann Arbor, MI 48108-3231
Phone (734) 677-0070

Other names 1

  • Eisenhower Addiction Recovery Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Moriah Incorporated4 organizations share this tax ID, including this one
Part of
Moriah Incorporated

Other organizations with this tax ID 3

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

Locations

3879 Packard St
Unit B
Ann Arbor, MI 48108
Phone (734) 412-6485

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.

NPI Registry JSON

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

{
    "created_epoch": "1605830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605830400000",
    "number": "1992308977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 E EISENHOWER PKWY",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481083231",
            "telephone_number": "734-677-0070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3879 PACKARD ST UNIT B",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481082011",
            "telephone_number": "734-412-6485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORIAH, INCORPORATED",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MORIAH, INCORPORATED",
        "enumeration_date": "2020-11-20",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-16",
        "status": "A",
        "authorized_official_last_name": "TADDONIO",
        "authorized_official_first_name": "TANJA",
        "authorized_official_title_or_position": "BILLING AND COLLECTIONS MGR",
        "authorized_official_telephone_number": "734-412-6485"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eisenhower Addiction Recovery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2020; 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.