NORTHEAST GUIDANCE CENTER NPI 1427336411

NPI Information

NPI: 1427336411
Provider Name: NORTHEAST GUIDANCE CENTER
Classification: Psychiatry & Neurology - 2084P0804X
Entity Type: Organization

Specialization: Child & Adolescent Psychiatry

Address:
12800 E WARREN AVE
DETROIT, MI
ZIP 48215
Phone: (313) 824-8000
Get Directions

NORTHEAST GUIDANCE CENTER is a child and adolescent psychiatry psychiatry neurology in Detroit, MI. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. NORTHEAST GUIDANCE CENTER NPI is 1427336411. The provider is registered as an organization entity type.

The provider's business location address is:

12800 E WARREN AVE
DETROIT, MI
ZIP 48215-061
Phone: (313) 824-8000
Fax: (313) 824-5589

The provider's authorized official is Sue Nederlander .
The authorized official title is Chief Financial Officer and has the following contact phone number (313) 824-5642.

The enumeration date for this NPI number is 7/26/2011 and was last updated on 7/26/2011.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251S00000X	Community/Behavioral Health				No
2	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0H26233	MEDICARE PIN	MICHIGAN
2	21-3119549	MEDICAID	MICHIGAN

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: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »