ASCENSION EASTWOOD BEHAVIORAL HEALTH (NPI# 1023238250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023238250 |
| Entity Type | Organization |
| Organization Name | ASCENSION EASTWOOD BEHAVIORAL HEALTH |
| Other Organization Name | EASTWOOD CLINICS |
| Practice Address |
22255 Greenfield Road Suite 300 Southfield MI 48075-3700 |
| Mailing Address |
28000 Dequindre Rd Warren MI 48092-2468 |
| Practice Telephone | 2488493301 |
| Practice Fax Number | 2488495349 |
| Mailing Telephone | 5867530400 |
| Mailing Fax Number | 5867530404 |
| Enumeration Date | 2007-04-30 |
| Last Update Date | 2019-09-16 |
| Authorized Official Name | STEVEN CANDELA (DIRECTOR) |
| Authorized Official Telephone | 5867530400 |
| Authorized Official Credential | LMSW |
| Is Organization Subpart | Y |
| Parent Organization Name | EASTWOOD COMMUNITY CLINICS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| N | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers | ||
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Eastwood Clinics | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992168983 | Ascension Eastwood Behavioral Health | Psychologist | 11270 E 13 Mile Rd Ste 2, Warren, MI 48093-2599 | 2016-03-29 |
| 1568768711 | Ascension Eastwood Behavioral Health | Psychiatry & Neurology | 2800 Livernois Rd Ste 500, Troy, MI 48083-1219 | 2011-02-07 |
| 1144422494 | Ascension Eastwood Behavioral Health | Psychiatry & Neurology | 44000 W 12 Mile Rd Ste 101, Novi, MI 48377 | 2007-05-31 |
| 1932329166 | Ascension Eastwood Behavioral Health | Counselor | 22151 Morros, Pb1, Suite 334, Detroit, MI 48236-2114 | 2007-04-30 |
| 1851519359 | Ascension Eastwood Behavioral Health | Counselor | 110 W. South Blvd, Suite 200, Rochester Hills, MI 48307-5150 | 2007-04-23 |
| 1336367804 | Ascension Eastwood Behavioral Health | Counselor | 22151 Moross, Pb1, Suite 334, Detroit, MI 48236-2114 | 2007-04-23 |
| 1104044676 | Ascension Eastwood Behavioral Health | Counselor | 22708 Harper Avenue, St. Clair Shores, MI 48315-6033 | 2007-04-23 |
| 1740408244 | Ascension Eastwood Behavioral Health | Counselor | 30701 Woodward Avenue, Suite 200, Royal Oak, MI 48073-0987 | 2007-04-23 |
| 1922116938 | Ascension Eastwood Behavioral Health | Substance Abuse Rehabilitation Facility | 1515 N Stephenson Hwy, Royal Oak, MI 48067-1526 | 2006-08-29 |
| 1396787701 | Ascension Eastwood Behavioral Health | Counselor | 35455 Garfield Rd, Clinton Township, MI 48035-2236 | 2006-06-11 |
| Street Address |
22255 GREENFIELD ROAD SUITE 300 |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48075-3700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619375201 | Tri-unity Pharmacy 200, LLC | Pharmacy | 22255 Greenfield Road, Suite 120, Southfield, MI 48075 | 2014-12-12 |
| 1174725428 | Ascension Eastwood Behavioral Health | Psychologist | 22255 Greenfield Road, Suite 300, Southfield, MI 48075-3700 | 2007-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851900054 | K&b Medical Wigs, LLC | Durable Medical Equipment & Medical Supplies | 16250 Northland Dr. Ste 221, Southfield, MI 48075 | 2020-07-24 |
| 1790300390 | Julian Jeberaeel | Radiology | 2250 Providence, Southfield, MI 48075 | 2020-06-10 |
| 1265056410 | Husein Yusuf Husein | Podiatrist | Ascension Providence Hospital Southfield Campus, 16001 W. Nine Mile Rd. Depaul 2nd Floor, Southfield, Mi, MI 48075 | 2020-06-03 |
| 1952945420 | Paris Straughter | Nurse Practitioner | 18438 Onyx St, Southfield, MI 48075 | 2019-10-29 |
| 1811467657 | Medicine Man Medical, Pllc | Physical Medicine & Rehabilitation | 25130 Southfield Road, Suite #210, Southfield, MI 48075 | 2018-12-04 |
| 1447725528 | Rommel Ramos Perez | Physical Therapist | 26017 Greenfield Rd., Southfield, MI 48075 | 2018-10-04 |
| 1073009627 | Jacqueline Venora Goodgame | Licensed Practical Nurse | 4000 Town Ctr, Southfield, MI 48075 | 2018-07-06 |
| 1043712532 | Hollie Marie Maltese | Physical Therapy Assistant | 22255 Greenfiled 118, Southfield, MI 48075 | 2018-03-01 |
| 1932601481 | Katie Marie Mccormack | Occupational Therapist | 16001 West Nine Mile Rd., Southfield, MI 48075 | 2018-03-01 |
| 1801304241 | Absolute Hc LLC | Physical Therapist | 23461 Greenfield Rd Ste 200b, Southfield, MI 48075 | 2018-01-19 |
| Find all providers in zip 48075 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922627058 | K R Dinkins Enterprises LLC | Counselor | 24333 Southfield Rd Ste 103, Southfield, MI 48075-2848 | 2020-04-09 |
| 1205311859 | Felicicia Mcneill | Counselor | 15900 W. 10 Mile Road, Fl 2, Ste. 211, Southfield, MI 48075-2036 | 2018-09-29 |
| 1609382035 | Karen Denise Starks | Counselor | 29186 Lancaster Dr Apt 203, Southfield, MI 48034-1441 | 2017-12-21 |
| 1447764691 | Tevis Howard Williams | Counselor | 29807 Rock Creek Dr, Southfield, MI 48076-5734 | 2017-11-27 |
| 1437675758 | Kenneth Gerard Giles | Counselor | 29532 Southfield Rd. Suite 208, Southfield, MI 48076 | 2017-08-17 |
| 1164948956 | Taneia Latrice Giles | Counselor | 29532 Southfield Rd Ste 208, Southfield, MI 48076-2023 | 2017-08-14 |
| 1689111221 | Latrena Marshall | Counselor | 24614 Maryland St, Southfield, MI 48075-3046 | 2017-01-20 |
| 1700338589 | Lossie Shevetta Pearson | Counselor | 17356 W. 12 Mile Suite 203, Southfield, MI 48076 | 2016-10-27 |
| 1528428745 | Deandria Fox | Counselor | 28965 Willow Court, #204, Southfield, MI 48034 | 2016-03-01 |
| 1649649583 | Saudia Lewan Twine | Counselor | 21650 W 11 Mile Rd Ste 102, Southfield, MI 48076-3776 | 2015-09-22 |
| Find all providers in SOUTHFIELD | ||||
| City | SOUTHFIELD |
| Zip Code | 48075 |
Please comment or provide details below to improve the information on ASCENSION EASTWOOD BEHAVIORAL HEALTH.
| 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.