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BRADLEY SCOTT
NPI 1689937153
Substance Abuse Rehabilitation Facility in Madison Hts, MI

Active since June 20, 2012
1400 E 12 MILE RD, MADISON HTS, MI 48071(248) 658-1116(248) 658-1120 Get Directions Write a Review

NPPES record last updated: June 20, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Bradley Scott NPPES

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

BRADLEY SCOTT (NPI 1689937153) is a healthcare organization registered as a substance abuse rehabilitation facility in Madison Hts, Michigan and active in the NPI registry since June 2012. The organization lists Bradley R Scott, Intern, as its authorized official.

NPPES Registry Identity

NPI1689937153
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameBRADLEY SCOTT
Location Address1400 E 12 MILE RDMadison Hts, MI 48071-2651
Mailing Address1400 E 12 Mile RdMadison Hts, MI 48071-2651 · (248) 658-1116 · Fax (248) 658-1120
Phone(248) 658-1116
Fax(248) 658-1120
Organization SubpartNo
Authorized OfficialBradley R ScottIntern · (248) 658-1116
Enumeration DateJune 20, 2012
✔ NPI 1689937153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
1400 E 12 MILE RD, Madison Hts, MI 48071
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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.

TANJA DECARLO-JACKSON
Counselor (Addiction (Substance Use Disorder))
1400 E 12 MILE RD
MADISON HEIGHTS, MI 48071
Oakland County (248) 547-2223
JILLIAN PARNOS LPC, CAADC
Counselor
1400 E 12 MILE RD
MADISON HEIGHTS, MI 48071
Oakland County (248) 761-7992
SHARITA BROWN
Counselor
1400 E 12 MILE RD
MADISON HEIGHTS, MI 48071
Oakland County (248) 658-1116
DANIELLE LAWLESS
Counselor (Professional)
1400 E 12 MILE RD
MADISON HTS, MI 48071
Oakland County (248) 658-1116
DAVID KEITH WALLIS
Peer Specialist
1400 E 12 MILE RD
MADISON HEIGHTS, MI 48071
Oakland County (248) 658-1116
MS. SUSANNE LATESSA LLMSW, MED, BSN, RN
Social Worker (Clinical)
1400 E 12 MILE RD
MADISON HEIGHTS, MI 48071
Oakland County (248) 658-1116
PREMIER SERVICES OF MICHIGAN, LLC
Clinic/Center (Methadone)
1400 E 12 MILE RD
MADISON HEIGHTS, MI 48071
Oakland County (248) 547-2223
MARK FRAS
Counselor (Addiction (Substance Use Disorder))
1400 E 12 MILE RD
MADISON HEIGHTS, MI 48071
Oakland County (248) 658-1116

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 Bradley Scott's NPI number?

The NPI number for Bradley Scott is 1689937153. It was assigned to this organization in the NPPES registry on June 20, 2012.

Where is Bradley Scott located?

Bradley Scott is located at 1400 E 12 Mile Rd, Madison Hts, MI 48071. The listed phone number is (248) 658-1116.

What is Bradley Scott's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Bradley Scott was last updated on June 20, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.