Spectrum Rehabilitation Centers Inc

LBN: Spectrum Rehabilitation Centers Inc
Spectrum Rehabilitation Centers Inc is an health care organization with primary practice located at 26555 Evergreen Rd Ste 830, Southfield MI 48076-4206. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as the primary health care specialty. Spectrum Rehabilitation Centers Inc can be contacted via phone (248) 350-3650, or through Sewick, Bradley G via phone (248) 350-3650.

Contact Information

Primary practice address
26555 Evergreen Rd Ste 830 Southfield MI 48076-4206
Phone: (248) 350-3650
Fax: (248) 350-1216
Website:
Map and Directions
Authorized official contact:
Name: Sewick, Bradley G PHD
Phone: (248) 350-3650

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 6301005256 Michigan

Profile Details

NPI number 1215928643
LBN Legal business name Spectrum Rehabilitation Centers Inc
DBA Doing business as
Authorized official Sewick, Bradley G PHD
Entity Organization
Organization subpart 1 No
Enumeration date Nov 3rd, 2005
Last updated May 24th, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215928643 NPPES
Michigan MEDICAID 1193960001

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