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TIMOTHY ROBERT SMITH CADAC
NPI 1689781775
Counselor - Addiction (Substance Use Disorder) in Detroit, MI

Active since August 24, 2006
4646 JOHN R ST, MENTAL HEALTH SERVICES (11MH-PS), DETROIT, MI 48201(313) 576-1000 Get Directions Write a Review

NPPES record last updated: June 8, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Timothy Robert Smith Cadac NPPES

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

TIMOTHY ROBERT SMITH CADAC (NPI 1689781775) is an individual addiction (substance use disorder) provider in Detroit, Michigan, licensed in Michigan (0834) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1689781775
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameTIMOTHY ROBERT SMITHCredential: CADAC
Location Address4646 JOHN R ST, MENTAL HEALTH SERVICES (11MH-PS)Detroit, MI 48201-1916
Mailing Address4110 Allegheny DrTroy, MI 48085-3642 · (313) 576-1000
Phone(313) 576-1000
Sole ProprietorYes
Enumeration DateAugust 24, 2006
Last NPPES UpdateJune 8, 2026
NPPES CertifiedJune 8, 2026
✔ NPI 1689781775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in MI · 0834
4646 JOHN R ST, Detroit, MI 48201
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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.

DR. YURIJ CHERSTYLO
Student in an Organized Health Care Education/Training Program
4646 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 576-1000
NAVITHA LONAPPAN
Registered Nurse (Medical-Surgical)
4646 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 576-1000
SHARI KABETH RN
Registered Nurse (Gastroenterology)
4646 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 576-1000
DEREK CURTIS THAMARUS
Registered Nurse
4646 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 576-1294
MOLLY GEORGE
Registered Nurse
4646 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 576-1316
EDWIN RAYMOND MILLER
Registered Nurse
4646 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 576-1000
MR. EDWIN INTIG LOON JR.
Licensed Practical Nurse
4646 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 576-1000
ASHLEY NICOLE DANIELS MDIV
Religious Nonmedical Practitioner
4646 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 576-1000

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 Timothy Smith's NPI number?

The NPI number for Timothy Smith is 1689781775. It was assigned to this individual provider in the NPPES registry on August 24, 2006.

Where is Timothy Smith located?

Timothy Smith practices at 4646 John R St Mental Health Services (11mh-Ps), Detroit, MI 48201. The listed phone number is (313) 576-1000.

What is Timothy Smith's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Timothy Smith was last updated on June 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.