NPIMap

Organization Active NPI

Scott Correctionl Facility

  • Community Health Clinic/Center
  • Plymouth, MI
National Provider Identifier
1992728331
Registry record updated Jul 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
License
4301059562 Issued in MI
Legal business name
SCOTT CORRECTIONL FACILITY
Practice address
47500 Five Mile Rd
Plymouth, MI 48170-2487
Phone
(734) 459-7400
NPI assigned
Jul 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2007

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

Authorized official

Name
Dr. Aruna Bavineni, MDNPI 1194891663
Title
Staff Psychiatrist
Phone
(734) 459-7400

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X 4301059562 MI Primary

Addresses

Primary practice location

47500 Five Mile Rd
Plymouth, MI 48170-2487

Mailing address

3425 Cherokee TRL
Ypsilanti, MI 48198-9498
Phone (734) 481-0239

National Provider Directory

National Provider Directory

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": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184284800000",
    "number": "1992728331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3425 CHEROKEE TRL",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481989498",
            "telephone_number": "734-481-0239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47500 FIVE MILE RD",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481702487",
            "telephone_number": "734-459-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT CORRECTIONL FACILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "last_updated": "2007-07-13",
        "status": "A",
        "authorized_official_last_name": "BAVINENI",
        "authorized_official_first_name": "ARUNA",
        "authorized_official_title_or_position": "STAFF PSYCHIATRIST",
        "authorized_official_telephone_number": "734-459-7400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "MI",
            "license": "4301059562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2007; 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.