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THE ADULT PSYCHIATRIC CLINIC NPI 1841204641


NPI Information

NPI: 1841204641
Provider Name: THE ADULT PSYCHIATRIC CLINIC

Doing Business As: NORTH CENTRAL HEALTH CENTER

Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
17141 RYAN RD
DETROIT, MI
ZIP 48212
Phone: (313) 369-1717
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THE ADULT PSYCHIATRIC CLINIC is a mental health counselor in Detroit, MI. THE ADULT PSYCHIATRIC CLINIC NPI is 1841204641. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As North Central Health Center.

The provider's business location address is:

17141 RYAN RD
DETROIT, MI
ZIP 48212-112
Phone: (313) 369-1717
Fax: (313) 369-1728

The provider's authorized official is William H. Peabody .
The authorized official title is Chief Executive Officer and has the following contact phone number (313) 369-1717.

The enumeration date for this NPI number is 7/28/2006 and was last updated on 2/13/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YM0800XCounselorMental Health1706446MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1OH26282MEDICARE ID-TYPE UNSPECIFIEDMICHIGANMEDICARE GROUP ID
21706446MEDICAIDMICHIGAN
371020000H26282OTHERMICHIGANBLUE CROSS BLUE SHIELD ID
40H26282MEDICARE PINMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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