HFHS CENTER FOR AUTISM AND DEVELOPMENTAL DISABILITIES (NPI# 1013348051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1013348051 |
Entity Type | Organization |
Organization Name | HFHS CENTER FOR AUTISM AND DEVELOPMENTAL DISABILITIES |
Practice Address |
22777 W 11 Mile Rd Southfield MI 48033-2152 |
Mailing Address |
One Ford Place 4b Hfhs Department of Pediatrics Detroit MI 48202 |
Practice Telephone | 3133333442 |
Mailing Telephone | 3138749591 |
Enumeration Date | 2013-12-02 |
Last Update Date | 2013-12-02 |
Authorized Official Name | MS. KATHLEEN CONWAY (ADMINISTRATOR, PEDIATRICS) |
Authorized Official Telephone | 3138745483 |
Authorized Official Credential | MHSA |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
Ambulatory Health Care Facilities |
Street Address |
22777 W 11 MILE RD |
City | SOUTHFIELD |
State | MI |
Zip Code | 48033-2152 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356435754 | Henry Ford Health System | Pharmacy | 22777 W 11 Mile Rd, Southfield, MI 48033-2152 | 2006-10-03 |
1043713647 | Linda Jean Mahome | Physical Therapist | 22777 W 11 Mile Rd, Southfield, MI 48033-2152 | 2018-03-10 |
1043732068 | Brittany Michelle Schwanke | Behavioral Analyst | 22777 W 11 Mile Rd, Southfield, MI 48033-2152 | 2017-07-11 |
1033669122 | Jenny Wai-yin Lin | Pharmacist | 22777 W 11 Mile Rd, Southfield, MI 48033-2152 | 2016-10-12 |
1326422908 | Marisa Elias | Pediatrics | 22777 W 11 Mile Rd, Southfield, MI 48033 | 2015-07-14 |
1811376577 | Mariana Fraga I | Behavioral Analyst | 22777 W 11 Mile Rd, Southfield, MI 48033-2152 | 2015-05-27 |
1134412679 | Dina Faig Ibrahim | Family Medicine | 22777 W 11 Mile Rd, Southfield, MI 48033-2152 | 2011-05-17 |
1477764272 | Horace Horn II | Pharmacist | 22777 W 11 Mile Rd, Southfield, MI 48034-2152 | 2007-05-24 |
1831318849 | Meloneze Renee Blackman | Pharmacy Technician | 22777 W 11 Mile Rd, Southfield, MI 48033-2152 | 2007-04-25 |
1952520462 | Jonathan Victor Van Lare | Pharmacist | 22777 W 11 Mile Rd, Southfield, MI 48034-2152 | 2007-04-24 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013531243 | Kenicka Harper | Case Manager/Care Coordinator | 2270 W Nine Mile Rd, Detroit, MI 48033 | 2020-06-03 |
1154955292 | Judy C Staples | Registered Nurse | 23800 West 10 Mile Road, Ste. 110, Southfield, MI 48033 | 2020-02-27 |
1578193827 | Axel Lee Gruenberg | Peer Specialist | 221790 West 9 Mile, Southfield, MI 48033 | 2020-01-24 |
1851958706 | William Beaumont Hospital | Clinic/Center | 26901 Beaumont Blvd., D - 5, Community Health, Southfield, MI 48033 | 2019-05-28 |
1396302857 | William Beaumont Hospital | Clinic/Center | Beaumont Service Center, 26901 Beaumont Blvd, Community Health, D - 5, Southfield, MI 48033 | 2019-05-21 |
1700442597 | Botsford General Hospital | Clinic/Center | 26901 Beaumont Blvd, Beaumont Service Center, Community Health, D - 5, Southfield, MI 48033 | 2019-05-16 |
1558862433 | Oakwood Accountable Care Organization, LLC | Preferred Provider Organization | 26901 Beaumont Blvd., Southfield, MI 48033 | 2018-02-26 |
1891228904 | Brandi Becker-wright | Social Worker | 25200 Telegraph Rd Ste 100, Southfield, MI 48033 | 2017-04-05 |
1003362252 | Mark Kline | Registered Nurse | 22170 W Nine Mile Rd, Southfield, MI 48033 | 2016-08-28 |
1033534797 | Jessica Savageau | Social Worker | 22170 W 9 Mile, Southfield, MI 48033 | 2014-03-04 |
Find all providers in zip 48033 |
Taxonomy Code | 261QD1600X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Developmental Disabilities |
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). |
Notes: [7/1/2003: new] |
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1154776201 | Center for Exceptional Families | Clinic/Center | 18501 Rotunda Dr Ste 200, Dearborn, MI 48124-3891 | 2016-04-26 |
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City | SOUTHFIELD |
Zip Code | 48033 |
Please comment or provide details below to improve the information on HFHS CENTER FOR AUTISM AND DEVELOPMENTAL DISABILITIES.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.