OAKLAND FAMILY SERVICES NPI 1003003617
Community/Behavioral Health in Berkley, MI
About OAKLAND FAMILY SERVICES
Oakland Family Services is a provider established in Berkley, Michigan specializing in community/behavioral health. The NPI number of Oakland Family Services is 1003003617 and was assigned on September 2007. The practitioner's primary taxonomy code is 251S00000X with license number 630317 (MI). The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Ms. Jaimie Pearl Clayton (President/ceo)
| NPI | 1003003617 |
| Provider Name | OAKLAND FAMILY SERVICES |
| Provider Location Address | 2351 WEST 12 MILE ROAD BERKLEY, MI 48072 |
| Provider Mailing Address | 114 ORCHARD LAKE ROAD PONTIAC, MI 48341 |
| NPI Entity Type | Organization |
| Is Sole Proprietor? | N/A |
| Is Organization Subpart? | Yes |
| Enumeration Date | 09-27-2007 |
| Last Update Date | 09-17-2014 |
Primary Taxonomy
| Taxonomy Code | 251S00000X |
| Classification | Community/Behavioral Health |
| Type | Agencies |
| License No. | 630317 |
| License State | MI |
| Taxonomy Description | 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. |
Business Address
OAKLAND FAMILY SERVICES
2351 WEST 12 MILE ROAD
BERKLEY, MI
ZIP 48072
Phone: (248) 544-4004
Fax: (248) 544-4013
Mailing Address
OAKLAND FAMILY SERVICES
114 ORCHARD LAKE ROAD
PONTIAC, MI
ZIP 48341
Phone: (248) 858-7766
Fax: (248) 858-7201
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State |
|---|---|---|
| 1883825 | MEDICAID (05) | MI |
| M03350 | MEDICARE UPIN (02) | MI |
| M03340 | MEDICARE UPIN (02) | MI |
| F37164 | MEDICARE UPIN (02) | MI |
NPI Footnotes
What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.
Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date
The date that a NPI record was last updated or changed.
Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.