GOGEBIC COUNTY MENTAL HEALTH AUTHORITY (NPI# 1427378009) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427378009 |
| Entity Type | Organization |
| Organization Name | GOGEBIC COUNTY MENTAL HEALTH AUTHORITY |
| Other Organization Name | GOGEBIC COUNTY COMMUNITY MENTAL HEALTH |
| Practice Address |
103 W Us Highway 2 Wakefield MI 49968-9515 |
| Practice Telephone | 9062296100 |
| Practice Fax Number | 9062296191 |
| Mailing Telephone | 9062296100 |
| Mailing Fax Number | 9062296191 |
| Enumeration Date | 2010-06-07 |
| Last Update Date | 2015-10-27 |
| Authorized Official Name | MRS. JULIE HAUTALA (CEO) |
| Authorized Official Telephone | 9062296100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1708119 | 05 |
| Other Name | Type Code |
|---|---|
| Gogebic County Community Mental Health | Former Legal Business Name - Organization |
| Street Address |
103 W US HIGHWAY 2 |
| City | WAKEFIELD |
| State | MI |
| Zip Code | 49968-9515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912957143 | Gogebic County Community Mental Health Authority | Psychologist | 103 W Us Highway 2, Wakefield, MI 49968-9515 | 2006-05-10 |
| 1396359048 | Jenna Fingeroos | Social Worker | 103 W Us Highway 2, Wakefield, MI 49968-9515 | 2020-09-01 |
| 1760013460 | Kristina Leeann Potesta | Case Manager/Care Coordinator | 103 W Us Highway 2, Wakefield, MI 49968-9515 | 2020-01-31 |
| 1568092500 | Miranda Anderson | Case Manager/Care Coordinator | 103 W Us Highway 2, Wakefield, MI 49968-9515 | 2020-01-17 |
| 1396396180 | Gogebic County Community Mental Health Authority | Clinic/Center | 103 W Us Highway 2, Wakefield, MI 49968-9515 | 2019-09-24 |
| 1144879636 | Lew Laukka | Registered Nurse | 103 W Us Highway 2, Wakefield, MI 49968-9515 | 2019-09-06 |
| 1417445982 | Kenneth Hansen | Social Worker | 103 W Us Highway 2, Wakefield, MI 49968-9515 | 2018-04-30 |
| 1548776081 | Daniel Peter Tibaldo | Social Worker | 103 W Us Highway 2, Wakefield, MI 49968-9515 | 2017-12-20 |
| 1194231035 | Leah Ruth Nikula | Social Worker | 103 W Us Highway 2, Wakefield, MI 49968-9515 | 2017-12-14 |
| 1942715867 | Laurie Ann Niemi | Social Worker | 103 W Us Highway 2, Wakefield, MI 49968-9515 | 2017-12-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881085017 | Gina Cummings | Registered Nurse | 103 W Us2, Wakefield, MI 49968 | 2015-02-10 |
| 1790906675 | Robert Wester Aukee | Dentist | 411 Brotherton St, Wakefield, MI 49968 | 2007-05-01 |
| 1508925884 | William Smith Malloy Jr. | Social Worker | 103 West U.S. 2, Wakefield, MI 49968 | 2006-12-06 |
| 1124239975 | Diane Frances Hill | Counselor | 103 West U.S. 2, Wakefield, MI 49968 | 2007-05-24 |
| 1447467311 | Barbra B Braithwaite | Psychologist | 103 West U.S. 2, Wakefield, MI 49968 | 2007-05-17 |
| 1346457363 | Michael D Rubatt | Counselor | 103 West U.S. 2, Wakefield, MI 49968 | 2007-05-17 |
| 1932277407 | Michael J Gregor | Dentist | 606 Putnam St, Wakefield, MI 49968-1024 | 2006-12-01 |
| 1164661708 | Laura Ann Novascone | Registered Nurse | 407 Brotherton St, Wakefield, MI 49968-1326 | 2009-02-04 |
| 1427297001 | Scott D Novascone | Registered Nurse | 407 Brotherton St, Wakefield, MI 49968-1326 | 2009-02-05 |
| 1528073145 | Wakefield Pharmacy Enterprises Ltd | Pharmacy | 408 Sunday Lake St, Wakefield, MI 49968-1338 | 2006-07-30 |
| Find all providers in zip 49968 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699701318 | Dutton Family Care Associates LLP | Family Medicine | 33 Avon St, Wakefield, MA 01880-2310 | 2006-06-24 |
| 1063450708 | Mercy Medical Services | Family Medicine | 308 Ash St, Wakefield, NE 68784-5023 | 2006-06-03 |
| 1215995097 | Michael James Weaver | Family Medicine | 553 Kingstown Rd, Wakefield, RI 02879-3600 | 2006-05-02 |
| 1720076011 | Jamiel J Ambrad | Family Medicine | 730 Kingstown Rd, Unit B5, Wakefield, RI 02879-3011 | 2005-10-11 |
| 1336692243 | Kjc Medi Weightloss LLC | Family Medicine | 603 Salem St, Wakefield, MA 01880-1227 | 2016-07-27 |
| 1992151179 | Yuan Yao | Family Medicine | 888 Main St, Wakefield, MA 01880-4080 | 2016-05-06 |
| 1164811733 | Dutton Family Care Associates LLP | Family Medicine | 33 Avon St, Wakefield, MA 01880-2310 | 2015-01-20 |
| 1861811358 | Osteopathic Family Medicine, LLC | Family Medicine | 55 Cherry Ln, Suite 1b, Wakefield, RI 02879-3617 | 2014-04-11 |
| 1962763656 | Sara E Watson | Family Medicine | 1 River St, Wakefield, RI 02879-3214 | 2012-05-30 |
| 1407141724 | Christopher Ryan Klaus | Family Medicine | 1 River St, Thundermist of South County, Wakefield, RI 02879-3214 | 2011-06-15 |
| Find all providers in WAKEFIELD | ||||
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| 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.