COMMUNITY MENTAL HEALTH SERVICES OF ST. JOSEPH COUNTY (NPI# 1073165528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073165528 |
Entity Type | Organization |
Organization Name | COMMUNITY MENTAL HEALTH SERVICES OF ST. JOSEPH COUNTY |
Practice Address |
677 E. Main St. Centreville MI 49032 |
Practice Telephone | 2694671000 |
Practice Fax Number | 2694673075 |
Mailing Telephone | 2694671000 |
Mailing Fax Number | 2694673075 |
Enumeration Date | 2019-07-15 |
Last Update Date | 2019-07-15 |
Authorized Official Name | DENISE R SKRZYPEK (BILLING) |
Authorized Official Telephone | 2694671001 |
Is Organization Subpart | Y |
Parent Organization Name | CMH SERVICES OF ST. JOSEPH COUNTY |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780014449 | Community Mental Health Services of St. Joseph County | Clinic/Center | 677 E Main St, Centreville, MI 49032-8524 | 2013-11-17 |
Street Address |
677 E. MAIN ST. |
City | CENTREVILLE |
State | MI |
Zip Code | 49032 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649266784 | Kristine A Kirsch | Registered Nurse | 677 E. Main St., Suite A, Centreville, MI 49032 | 2005-09-23 |
1134535024 | Sheila Marie Guillen | Counselor | 677 E. Main St., Centreville, MI 49032 | 2014-07-11 |
1467880450 | Ann Louise Gilpin | Counselor | 677 E. Main St., Centreville, MI 49032 | 2013-10-29 |
1598039901 | Jarrett Steven Cupp | Counselor | 677 E. Main St., Centreville, MI 49032 | 2012-03-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669901815 | Bridge Healthcare Pharmacy LLC | Pharmacy | 658 E. Main St, Suite 1, Centreville, MI 49032 | 2017-06-09 |
1962700054 | Jennifer Rose Fisher | Social Worker | 677 E. Main Street, Centreville, MI 49032 | 2011-03-14 |
1437452240 | Carol Ann Naccarato | Registered Nurse | 677 East Main Street, Suite A, Centreville, MI 49032 | 2010-12-16 |
1003120510 | Rebecca Nicole Brueck | Registered Nurse | 677 East Main, Suite A, Centreville, MI 49032 | 2010-07-27 |
1497081723 | Travis Scott Kohl | Counselor | 677 East Main St, Suite A, Centreville, MI 49032 | 2009-10-21 |
1811142946 | Paula Therese Berchiatti | Counselor | 677a E. Main Street, Centreville, MI 49032 | 2008-11-17 |
1669628160 | Bruce Ronald Hyde | Family Medicine | 658 E Main St, Centreville, MI 49032 | 2008-08-15 |
1932398815 | Heather Nicole Decastro | Counselor | 377a East Main, Centreville, MI 49032 | 2007-10-17 |
1073686432 | Linda Sue Overholt | Counselor | 338 N Fisher Ln, Centreville, MI 49032 | 2006-11-15 |
1174600522 | Stacy M Linihan | Social Worker | 658 East Main, Centreville, MI 49032 | 2006-11-01 |
Find all providers in zip 49032 |
Taxonomy Code | 261QM0801X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Mental Health (Including Community Mental Health Center) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366438483 | Community Mental Health Services of St Joseph County | Clinic/Center | 677 E Main St Ste A, Centreville, MI 49032-8525 | 2005-09-23 |
1861990160 | Project Chesapeake, LLC | Clinic/Center | 202 Coursevall Dr Ste 104, Centreville, MD 21617-2805 | 2018-02-01 |
1164612065 | Children's Center for Behavioral Developement | Clinic/Center | 353 N 88th St, Highway 157 South, Centreville, IL 62203-2705 | 2007-07-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225637267 | Thompson Counseling & Consulting LLC | Clinic/Center | 36500 Ford Rd Ste 329, Westland, MI 48185-3769 | 2020-10-21 |
1720685464 | Thiera Danyal Therapy and Wellness LLC | Clinic/Center | 10216 Beaconsfield St, Detroit, MI 48224-2573 | 2020-10-06 |
1871100602 | Sbh Ventures LLC | Clinic/Center | 700 Golfcrest Dr, Dearborn, MI 48124-1121 | 2020-09-25 |
1558978593 | Katie M Wyss Lmsw, LLC | Clinic/Center | 218 N 4th Ave Ste 207, Ann Arbor, MI 48104-1472 | 2020-09-24 |
1700492154 | Bound Together Counseling, Pllc | Clinic/Center | 3020 Franklin Park Dr, Sterling Heights, MI 48310-2477 | 2020-09-21 |
1982219556 | Best Life Counseling Services, LLC | Clinic/Center | O-745 Lake Michigan Dr Nw, Grand Rapids, MI 49534-6795 | 2020-09-10 |
1780297879 | Grisham Services Inc. | Clinic/Center | 710 Chippewa Sq Ste 206, Marquette, MI 49855-4823 | 2020-08-28 |
1518579655 | Self Preservation Through Recovery Independence Transformation Guidanc | Clinic/Center | 21225 Kelly Rd Ste 5, Eastpointe, MI 48021-3100 | 2020-08-19 |
1639789688 | Itherapygenx, Pllc | Clinic/Center | 31701 Grandview Ave, Westland, MI 48186-8958 | 2020-08-05 |
1619595832 | Peace of Mind, LLC | Clinic/Center | 41750 Foster Dr Unit 204, Novi, MI 48375-1976 | 2020-07-14 |
Find all providers with the same taxonomy |
City | CENTREVILLE |
Zip Code | 49032 |
Please comment or provide details below to improve the information on COMMUNITY MENTAL HEALTH SERVICES OF ST. JOSEPH COUNTY.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.