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ST. JOHN PROVIDENCE COMMUNITY HEALTH
NPI 1902279466
Clinic/Center - Adolescent and Children Mental Health in Detroit, MI

Active since November 05, 2015
11600 E 7 MILE RD, DETROIT, MI 48205(313) 372-5974 Get Directions Write a Review

NPPES record last updated: November 18, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About St. John Providence Community Health NPPES

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

ST. JOHN PROVIDENCE COMMUNITY HEALTH (NPI 1902279466) is a healthcare organization registered as an adolescent and children mental health in Detroit, Michigan and active in the NPI registry since November 2015. The organization lists Lonnie Harvey, Behavioral Health Counselor, as its authorized official.

NPPES Registry Identity

NPI1902279466
Entity TypeOrganization
Primary Taxonomy261QM0855X
Legal Business NameST. JOHN PROVIDENCE COMMUNITY HEALTH
Location Address11600 E 7 MILE RDDetroit, MI 48205-2112
Mailing Address11600 E 7 Mile RdDetroit, MI 48205-2112
Phone(313) 372-5974
Organization SubpartNo
Authorized OfficialLonnie HarveyBehavioral Health Counselor · (313) 372-5974
Enumeration DateNovember 5, 2015
Last NPPES UpdateNovember 18, 2015
✔ NPI 1902279466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0855X
License✔ Licensed in MI · 6401013184
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
11600 E 7 MILE RD, Detroit, MI 48205
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Other Providers at the Same Location NPPES 2

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

ASCENSION SOUTHEAST MICHIGAN COMMUNITY HEALTH
Clinic/Center (Adolescent and Children Mental Health)
11600 E 7 MILE RD
DETROIT, MI 48205
Wayne County (313) 373-5974
MARIE SHOULDERS-WILLIAMS FNP
Nurse Practitioner (Family)
11600 E 7 MILE RD
DETROIT, MI 48205
Wayne County (313) 372-5974

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 Providence Community Health's NPI number?

The NPI number for St. John Providence Community Health is 1902279466. It was assigned to this organization in the NPPES registry on November 5, 2015.

Where is St. John Providence Community Health located?

St. John Providence Community Health is located at 11600 E 7 Mile Rd, Detroit, MI 48205. The listed phone number is (313) 372-5974.

What is St. John Providence Community Health's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

When was this NPI record last updated?

The NPPES record for St. John Providence Community Health was last updated on November 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.