AUTISM SUPPORT SERVICES CENTER – NPI #1477281558
Clinic/Center

An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).

Health Care Provider Taxonomy Code for Clinic/Center

AUTISM SUPPORT SERVICES CENTER is an AHC clinic located in REDFORD CHARTER TOWNSHIP, MI. NPPES has assigned the NPI number 1477281558 to AUTISM SUPPORT SERVICES CENTER on August 08, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QD1600X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Developmental Disabilities Keep in mind, having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was previously updated about 4 years ago on Aug 09, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for AUTISM SUPPORT SERVICES CENTER below.

NPI Profile for
AUTISM SUPPORT SERVICES CENTER

NPI Number
1477281558
Enumeration Date

(about 4 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
AUTISM SUPPORT SERVICES CENTER
Primary location
16778 NORBORNE
REDFORD CHARTER TOWNSHIP, MI 48240-3830
Phone: (313) 740-7060 Fax:
1 Other location(s):
21260 8 1/2 Mile Rd
Southfield, MI 48075-3830
Phone: (313) 740-7060
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
LAKEYA MARTIN
EXECUTIVE DIRECTOR
Phone: (313) 740-7060
Updated
Certification Date
Aug 09, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD1600X
- Clinic/Center / Developmental Disabilities (Primary)
385HR2060X
- Respite Care / Respite Care, Intellectual and/or Developmental Disabilities, Child
385H00000X
- Respite Care
320900000X
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
261QM0855X
- Clinic/Center / Adolescent and Children Mental Health
251C00000X
- Day Training, Developmentally Disabled Services
225CA2400X
- Rehabilitation Counselor / Assistive Technology Practitioner
222Q00000X
- Developmental Therapist
172A00000X
- Driver
171M00000X
- Case Manager/Care Coordinator
106S00000X
- Behavior Technician
106E00000X
- Assistant Behavior Analyst
1041C0700X
- Social Worker / Clinical
103TM1800X
- Psychologist / Intellectual & Developmental Disabilities

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.