KADIMA JEWISH SUPPORT SERVICES FOR ADULTS WITH MENTAL ILLNESS (NPI# 1184836082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184836082 |
| Entity Type | Organization |
| Organization Name | KADIMA JEWISH SUPPORT SERVICES FOR ADULTS WITH MENTAL ILLNESS |
| Practice Address |
15999 West 12 Mile Road Southfield MI 48382 |
| Mailing Address |
15999 W 12 Mile Rd Southfield MI 48076-7159 |
| Practice Telephone | 2485598235 |
| Practice Fax Number | 2484239318 |
| Mailing Telephone | 2485598235 |
| Mailing Fax Number | 2484239318 |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2010-08-11 |
| Authorized Official Name | MS. JANETTE SHALLAL (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2485598235 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
15999 WEST 12 MILE ROAD |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48382 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700373933 | Kevin Piper | Occupational Therapist | 3517 Clark Circle, Commerce, MI 48382 | 2018-04-13 |
| 1215483953 | Jodi Lynn Van Proeyen | Community Health Worker | 8749 Buckskin Drive, Commerce Township, MI 48382 | 2016-09-01 |
| 1912382532 | Lindsay Anne Brossy | Nurse Practitioner | 8906 Commerce Rd Unit 5, Commerce Twp, MI 48382 | 2015-07-24 |
| 1386991008 | Joao Najar | Dentist | 1440 Woodview Lane, Commerce, MI 48382 | 2012-08-13 |
| 1275828709 | Stacy Ann Madany | Physician Assistant | 9640 Commerce Road, Suite 100, Commerce, MI 48382 | 2011-06-13 |
| 1801038740 | Kent C. Bowden Do Pllc | Surgery | 1 William Carls Drive, Huron Valley Sinai Hospital, Commerce, MI 48382 | 2009-03-24 |
| 1982895207 | Stephanie Lee Adams | Specialist/Technologist | 8391 E. Commerce Rd., Suite 108, Commerce Township, MI 48382 | 2007-08-05 |
| 1780890459 | William Lee Thompson | Dentist | 2900 Union Lake Rd Ste 105, Commerce Township, MI 48382 | 2007-05-16 |
| 1821132945 | Alan Elliot Parven | Optometrist | 3000 Commerce Crossing Rd, Commerce Township, MI 48382 | 2007-02-20 |
| 1932285293 | Dr L Reynolds Associates, PC | Specialist | 1 Williams Carl Drive, Commerce, MI 48382 | 2006-10-30 |
| Find all providers in zip 48382 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524032 | I Need A Moment, LLC | Community/Behavioral Health | 20411 Alhambra St, Southfield, MI 48076-5422 | 2020-09-24 |
| 1780219196 | I. R. Horn & Associates LLC | Community/Behavioral Health | 29623 Norhtwestern Hwy Suite 5, Southfield, MI 48034 | 2020-03-05 |
| 1235774514 | Siebert Psychotherapy Services | Community/Behavioral Health | 29501 Greenfield Rd Ste 132, Southfield, MI 48076-2250 | 2019-11-11 |
| 1225682933 | Hydro Play LLC | Community/Behavioral Health | 21776 Colony Park Cir Apt 203, Southfield, MI 48076-1658 | 2019-07-31 |
| 1376017137 | Stacy K Doctoroff Lpc, LLC | Community/Behavioral Health | 29260 Franklin Rd Ste 111, Southfield, MI 48034-1196 | 2019-01-15 |
| 1295208361 | Sensible Counseling Pllc | Community/Behavioral Health | 15700 W 10 Mile Rd Ste 101a, Southfield, MI 48075-2100 | 2019-01-10 |
| 1477039055 | Faith Soars Counseling | Community/Behavioral Health | 24681 Northwestern Hwy Ste 303, Southfield, MI 48075-2322 | 2018-07-17 |
| 1033608054 | Healing Waters Grief Therapy Pllc | Community/Behavioral Health | 18444 W 10 Mile Rd Ste 204, Southfield, MI 48075-2626 | 2018-05-04 |
| 1023552361 | Massage Serenity | Community/Behavioral Health | 20245 W. 12 Mile Rd, Suite 113, Southfield, MI 48076 | 2016-12-06 |
| 1760925267 | 1 Percent LLC | Community/Behavioral Health | 27090 Devonshire St, Southfield, MI 48076-3139 | 2016-12-01 |
| Find all providers in SOUTHFIELD | ||||
| City | SOUTHFIELD |
| Zip Code | 48382 |
Please comment or provide details below to improve the information on KADIMA JEWISH SUPPORT SERVICES FOR ADULTS WITH MENTAL ILLNESS.
| 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.