WASHTENAW COUNTY, COMMUNITY SPPORT & TREATMENT SERVICES
NPI 1790918431
Clinic/Center - Mental Health (Including Community Mental Health Center) in Ann Arbor, MI

NPI Status: Active since August 28, 2009

Contact Information

2140 E ELLSWORTH RD
ANN ARBOR, MI
ZIP 48108
Phone: (734) 222-3573
Fax: (734) 222-3461

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  • Organization
  • Clinic/Center
  • Mental Health (Including Community Menta...

About WASHTENAW COUNTY, COMMUNITY SPPORT & TREATMENT SERVICES

This page provides the complete NPI Profile along with additional information for Washtenaw County, Community Spport & Treatment Services, a provider established in Ann Arbor, Michigan operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1790918431 assigned on August 2009. The practitioner's primary taxonomy code is 261QM0801X with license number 470120743 (MI). The provider is registered as an organization and their NPI record was last updated 16 years ago. The authorized official of this NPI record is Mrs. Dioanne Kendrick-jeffery Rn (Mental Health Nurse)

NPI
1790918431
Provider Name
WASHTENAW COUNTY, COMMUNITY SPPORT & TREATMENT SERVICES
Entity Type
Organization
Location Address
2140 E ELLSWORTH RD ANN ARBOR, MI 48108
Location Phone
(734) 222-3573
Location Fax
(734) 222-3461
Mailing Address
2140 E ELLSWORTH RD ANN ARBOR, MI 48108
Mailing Phone
(734) 222-3573
Mailing Fax
(734) 222-3461
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-28-2009
Last Update Date
08-28-2009
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Mental Health (Including Community Mental Health Center)

Taxonomy Code
261QM0801X
Type
Ambulatory Health Care Facilities
License No.
470120743
License State
MI

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1251C00000XAgencies

Day Training, Developmentally Disabled Services

4704120743 (MI)

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. DIOANNE KENDRICK-JEFFERY RN

Authorized Official Title
MENTAL HEALTH NURSE
Authorized Official Phone
(734) 222-3573

Reviews for WASHTENAW COUNTY, COMMUNITY SPPORT & TREATMENT SERVICES

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1790918431
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271801811646
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 8 + 0 + 1 + 8 + 1 + 1 + 6 + 4 + 6 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 11

The NPI number 1790918431 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1033172242DR. ELLEN SMITH PERRICCI MD
Individual
Psychiatry & Neurology (Psychiatry)2140 E ELLSWORTH RD
ANN ARBOR, MI 48108
(734) 477-7417
1821006768MRS. KARI TEACH-RICKARD MA LPC
Individual
Counselor (Professional)2140 E ELLSWORTH RD
ANN ARBOR, MI 48108
(734) 222-9510
1255485629MRS. MARTHA FINKELSTEIN YOUNG NP
Individual
Registered Nurse (Psychiatric/Mental Health)2140 E ELLSWORTH RD
ANN ARBOR, MI 48108
(734) 971-2282
1902950322 DANIEL JOSEPH HEALY III MD
Individual
Psychiatry & Neurology (Psychiatry)2140 E ELLSWORTH RD
ANN ARBOR, MI 48108
(734) 222-3500
1740334176 MICHELLE CHRISTINE SHAUGER MD
Individual
Psychiatry & Neurology (Psychiatry)2140 E ELLSWORTH RD
ANN ARBOR, MI 48108
(734) 222-3500
1124169545MR. JOHN P SHOVELS MSW
Individual
Social Worker (Clinical)2140 E ELLSWORTH RD
ANN ARBOR, MI 48108
(734) 222-9512
1467588434MS. DAWN DEE BRAZIL RN
Individual
Registered Nurse (Psychiatric/Mental Health, Adult)2140 E ELLSWORTH RD
ANN ARBOR, MI 48108
(734) 971-2385
1386770055MRS. KELLEY JEAN LEE OTR
Individual
Occupational Therapist2140 E ELLSWORTH RD
ANN ARBOR, MI 48108
(734) 222-3500
1245366129MS. SANDY ANN SNOW LPC,LMSW
Individual
Counselor (Professional)2140 E ELLSWORTH RD
ANN ARBOR, MI 48108
(734) 222-3587
1336275346MRS. KATHLEEN KAY RICKETTS RN
Individual
Registered Nurse2140 E ELLSWORTH RD
ANN ARBOR, MI 48108
(734) 477-5661
1265568075 DEBRA ANN EGGLESTON LMSW
Individual
Social Worker (Clinical)2140 E ELLSWORTH RD
ANN ARBOR, MI 48108
(734) 222-3576
1073649091MR. KEVIN MICHAEL DONNELLY RN
Individual
Registered Nurse2140 E ELLSWORTH RD
ANN ARBOR, MI 48108
(734) 222-3500
1649306697MS. FONDA NICO SMITH LMSW
Individual
Social Worker (Clinical)2140 E ELLSWORTH RD
ANN ARBOR, MI 48108
(734) 222-3500
1497881841MR. KENNETH ANTKOWIAK MS,LLP
Individual
Psychologist (Clinical)2140 E ELLSWORTH RD
ANN ARBOR, MI 48108
(734) 222-3500
1518093954MRS. CARRIE LYNN WARECK LBSW,CAAC,TLLP
Individual
Counselor (Addiction (Substance Use Disorder))2140 E ELLSWORTH RD
ANN ARBOR, MI 48108
(734) 222-3500
1356477798MS. ELLEN MARIE GAVIN RN, BSN
Individual
Registered Nurse (Administrator)2140 E ELLSWORTH RD
ANN ARBOR, MI 48108
(734) 222-3500
1881720241MR. WILLIAM J LEADFORD MSW
Individual
Social Worker (Clinical)2140 E ELLSWORTH RD
ANN ARBOR, MI 48108
(734) 222-3500
1437287281MS. ELIZABETH ANN FREDERICK LMSW
Individual
Social Worker (Clinical)2140 E ELLSWORTH RD
ANN ARBOR, MI 48108
(734) 222-9515
1104954866MR. JEREME C DE LARA SWT
Individual
Social Worker2140 E ELLSWORTH RD
ANN ARBOR, MI 48108
(734) 971-2282
1912035627MR. JOHN JOSEPH STACY MLTDSW, CAC-1
Individual
Social Worker (Clinical)2140 E ELLSWORTH RD
ANN ARBOR, MI 48108
(734) 222-9501

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790918431, enumerated in the NPI registry as an "organization" on August 28, 2009

The provider is located at 2140 E Ellsworth Rd Ann Arbor, Mi 48108 and the phone number is (734) 222-3573

This medical organization specializes in Clinic/Center with taxonomy code 261QM0801X with a focus in Mental Health (Including Community Mental Health Center)

This NPI record was last updated on August 28, 2009. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.