Chrysalis
NPI 1407077613 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Southgate, MI
Chrysalis is a Intellectual and/or Developmental Disabilities Residential Treatment Facility organization in Southgate, MI (NPI 1407077613).
Provider details
- NPI number
- 1407077613
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Maribeth Knisley, Executive Director(734) 282-4630
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-05-02
- Last updated
- 2020-08-22
Frequently asked questions
- What is Chrysalis's NPI number?
- Chrysalis's National Provider Identifier (NPI) is 1407077613, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Chrysalis?
- Chrysalis is classified in the NPPES registry as Intellectual and/or Developmental Disabilities Residential Treatment Facility (Residential Treatment Facilities).
- Where is Chrysalis located?
- Chrysalis's practice location on file with NPPES is 12985 Northline Rd Ste 103, Southgate, MI 48195-1194.
- What is Chrysalis's phone number?
- The practice phone number listed in the NPPES registry for Chrysalis is (734) 282-4630.
- Who is the authorized official for Chrysalis?
- The authorized official listed on Chrysalis's NPPES record is Maribeth Knisley, Executive Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Chrysalis's NPI active?
- Yes — Chrysalis's NPI (1407077613) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.