FAIRSKY FOUNDATION - NPI 1033595665 - Clinic/Center in Ferndale, MI

Q: What is the provider's specialty?

The provider's specialty is Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.

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About Fairsky Foundation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FAIRSKY FOUNDATION (NPI 1033595665) is a healthcare organization registered as a multi-specialty in Ferndale, Michigan and active in the NPI registry since August 2015. The organization maintains 6 additional practice locations and lists David St. John, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1033595665

Entity TypeOrganization

Primary Taxonomy261QM1300X

Legal Business NameFAIRSKY FOUNDATION

Location Address23231 WOODWARD AVEFerndale, MI 48220-1361

Mailing Address23231 Woodward AveFerndale, MI 48220-1361 · (248) 581-8777 · Fax (888) 975-9374

Phone(248) 581-8777

Fax(888) 975-9374

Organization SubpartNo

Authorized OfficialDavid St. JohnExecutive Director · (248) 581-8777

Enumeration DateAugust 5, 2015

Last NPPES UpdateAugust 23, 20223 updates tracked since enumeration

NPPES CertifiedAugust 23, 2022

✔ NPI 1033595665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM1300X

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X

Also ListedPsychologist · ClinicalTaxonomy 103TC0700X

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X

Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X

23231 WOODWARD AVE, Ferndale, MI 48220

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Secondary Practice Locations 6

Location 1124 Pearl St Ste 303Ypsilanti, MI 48197-2663 · Phone (248) 581-8777 · Fax (888) 975-9374

Location 2464 N Main StPlymouth, MI 48170-1347 · Phone (248) 581-8777 · Fax (888) 975-9374

Location 32020 Raybrook St SE Ste 203Grand Rapids, MI 49546-7717 · Phone (248) 581-8777 · Fax (888) 975-9374

Location 41300 Broadway St Ste 400Detroit, MI 48226-2202 · Phone (248) 581-8777 · Fax (888) 975-9374

Location 5230 Collingwood St Ste 250Ann Arbor, MI 48103-3845 · Phone (248) 581-8777 · Fax (888) 975-9374

Location 61367 Andrews Ave LowrLakewood, OH 44107-2405 · Phone (248) 581-8777 · Fax (888) 975-9374

Other Identifiers 1

MedicaidCV0058149MI

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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