ST. JOHN FAMILY CENTER
NPI 1215067046
Clinic/Center in Saint Clair Shores, MI

Q: What is St. John Family Center's NPI number?

The NPI number for St. John Family Center is 1215067046. It was assigned to this organization in the NPPES registry on March 7, 2007.

Q: What is St. John Family Center's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Active since March 07, 2007

24911 LITTLE MACK AVE, SUITE C, SAINT CLAIR SHORES, MI 48080(586) 753-0011 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About St. John Family Center NPPES

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

ST. JOHN FAMILY CENTER (NPI 1215067046) is a healthcare organization registered as a clinic/center in Saint Clair Shores, Michigan and active in the NPI registry since March 2007. The organization lists Christopher J Palazzolo, V.p. - Finance, as its authorized official.

NPPES Registry Identity

NPI1215067046

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameST. JOHN FAMILY CENTER

Location Address24911 LITTLE MACK AVE, SUITE CSaint Clair Shores, MI 48080-3200

Mailing Address28000 Dequindre RdWarren, MI 48092-2468 · (586) 753-0011

Phone(586) 753-0011

Organization SubpartNo

Authorized OfficialChristopher J PalazzoloV.p. - Finance · (313) 343-3558

Enumeration DateMarch 7, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1215067046 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

24911 LITTLE MACK AVE, Saint Clair Shores, MI 48080

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Other Identifiers 1

Other0E01293MI · Bcbsm Pin

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.

PATRICIA WEST PHD, RN

Nurse Practitioner (Psychiatric/Mental Health)

24911 LITTLE MACK AVE, SUITE C
SAINT CLAIR SHORES, MI 48080

Macomb County (586) 447-9070

KENNETH W BOLLIN MD

Family Medicine

24911 LITTLE MACK AVE
SAINT CLAIR SHORES, MI 48080

Macomb County (586) 777-2050

MITCHELL BECKER

Family Medicine

24911 LITTLE MACK AVE
SAINT CLAIR SHORES, MI 48080

Macomb County (586) 777-2050

EILEEN MARGARET REICKERT MD

Family Medicine

24911 LITTLE MACK AVE
ST CLAIR SHORES, MI 48080

Macomb County (586) 777-2050

DR. TERRY KENNETH DELUCA M.D.

Family Medicine

24911 LITTLE MACK AVE
SAINT CLAIR SHORES, MI 48080

Macomb County (586) 777-2050

DR. RITA SALEEM JADDOU M.D.

Family Medicine

24911 LITTLE MACK AVE
SAINT CLAIR SHORES, MI 48080

Macomb County (586) 447-9064

SAMINEH MIRHEYDARI MD

Family Medicine

24911 LITTLE MACK AVE
SAINT CLAIR SHORES, MI 48080

Macomb County (586) 777-2050

KARAMVIR KAUR DHILLON M.D

Family Medicine

24911 LITTLE MACK AVE, ST JOHN FAMILY MEDICAL CENTRE
SAINT CLAIR SHORES, MI 48080

Macomb County (586) 447-9081

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is St. John Family Center's NPI number?

The NPI number for St. John Family Center is 1215067046. It was assigned to this organization in the NPPES registry on March 7, 2007.

Where is St. John Family Center located?

St. John Family Center is located at 24911 Little Mack Ave Suite C, Saint Clair Shores, MI 48080. The listed phone number is (586) 753-0011.

What is St. John Family Center's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for St. John Family Center was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.