STARR COMMONWEALTH (NPI# 1588706915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588706915 |
| Entity Type | Organization |
| Organization Name | STARR COMMONWEALTH |
| Other Organization Name | PSYCHSYSTEMS |
| Practice Address |
13725 Starr Commonwealth Albion MI 49224-9580 |
| Practice Telephone | 5176295591 |
| Practice Fax Number | 5176302572 |
| Mailing Telephone | 5176295591 |
| Mailing Fax Number | 5176302572 |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2019-03-21 |
| NPI Deactivation Date | 03/12/2019 |
| NPI Reactivation Date | 2019-03-18 |
| Authorized Official Name | MRS. ELIZABETH A CAREY (PRESIDENT & CEO) |
| Authorized Official Telephone | 5176295591 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3245S0500X |
Substance Abuse Rehabilitation Facility Specialization: Substance Abuse Treatment, Children |
Residential Treatment Facilities | ||
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
| N | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers | ||
| N | 103TA0700X |
Psychologist Specialization: Adult Development & Aging |
Behavioral Health & Social Service Providers | ||
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
Behavioral Health & Social Service Providers | ||
| N | 103TF0000X |
Psychologist Specialization: Family |
Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
| N | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | Residential Treatment Facilities | ||
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1588706915 | 05 | |
| MI | PTAN | MI7838 | 01 |
| Other Name | Type Code |
|---|---|
| PsychSystems | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 35640 W Michigan Ave, Wayne, MI 481841628 | 7347297792 | 7347297938 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669859211 | Starr Commonwealth | In Home Supportive Care | 320 Toledo St, Adrian, MI 49221-2831 | 2015-05-04 |
| 1093892853 | Starr Commonwealth | Substance Abuse Rehabilitation Facility | 301 Obetz Road, Columbus, OH 43207 | 2006-11-01 |
| 1326421959 | Starr Commonwealth | Community/Behavioral Health | 155 Garfield Ave, Battle Creek, MI 49037-3407 | 2015-07-01 |
| 1982086468 | Starr Commonwealth | Behavioral Analyst | 20955 Bournemouth St, Harper Woods, MI 48225-2301 | 2015-06-22 |
| 1093056244 | Starr Commonwealth | Clinic/Center | 301 Obetz Rd, Columbus, OH 43207-4036 | 2013-03-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Starr Commonwealth | 13725 Starr Commonwealth Road, Albion, MI 49224 |
| System for Award Management (SAM) Entities | STARR COMMONWEALTH | 13725 Starr Commonwealth Rd, Albion, MI 49224-9525 |
| Washington State Corporations | STARR COMMONWEALTH | 13725 Starr Commonwealth Rd, Albion, MI 49224-9525 |
| Virginia Business Entities | STARR COMMONWEALTH | 13725 Starr Commonwealth Road, Albion, Michigan 49224 |
| Indiana Business Entities | STARR COMMONWEALTH | 3155 E. Patrick Lane Ste 1, Las Vegas, NV 89120 |
| Indiana Business Entities | STARR COMMONWEALTH FOR BOYS | 13725 Starr Commonwealth Rd, Albion, MI 49224 |
| Street Address |
13725 STARR COMMONWEALTH |
| City | ALBION |
| State | MI |
| Zip Code | 49224-9580 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275008823 | Tiffany B Stealy | Nurse Practitioner | 302 N. Monroe, Albion, MI 49224 | 2018-10-10 |
| 1194220012 | W A Foote Memorial Hospital Inc | Clinic/Center | 415 S Hannah St, Albion, MI 49224 | 2018-03-25 |
| 1336509660 | Oaklawn Dialysis Center of Albion, LLC | Clinic/Center | 350 North B Drive, Albion, MI 49224 | 2016-02-29 |
| 1306827985 | Parks Drug Store Inc | Pharmacist | 318 S Superior St, Albion, MI 49224 | 2005-11-09 |
| 1346625597 | Alexis Wilson-gamble | Licensed Practical Nurse | 1305 Cooper St, Albion, MI 49224-1029 | 2015-07-29 |
| 1043507379 | Ska At Home Visiting Doctor PC | Internal Medicine | 1302 N Eaton St Ste A, Albion, MI 49224-1041 | 2011-07-07 |
| 1639267842 | Ndubisi Eze Izima | Internal Medicine | 1302 N Eaton St, Albion, MI 49224-1041 | 2006-10-11 |
| 1558620039 | Marion T Zarzycki | Dietitian, Registered | 1302 N Eaton St, Albion, MI 49224-1041 | 2012-05-03 |
| 1598086985 | Medical Marijuanna Certification and Family Practice, PC | Specialist | 1302 N Eaton St, Albion, MI 49224-1041 | 2010-06-19 |
| 1851627053 | At Home Doctors, PC | Family Medicine | 1302 N Eaton St, Albion, MI 49224-1041 | 2009-10-22 |
| Find all providers in zip 49224 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225095219 | Drew Chenelly | Psychologist | 121 N Main St, Suite 310, Albion, NY 14411-1237 | 2006-04-26 |
| 1376549808 | Brenda L Bierdeman | Psychologist | 27 S Platt St, Albion, NY 14411-1431 | 2005-06-21 |
| 1578516332 | Larry Lynn Herl | Psychologist | 131 E State St, Box 116, Albion, PA 16401-1348 | 2006-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245831296 | Reema S. Beri, Phd, LLC | Psychologist | 49410 Waterstone Estates Cir, Northville, MI 48168-4900 | 2020-11-05 |
| 1952901225 | Northerner Psychological Services, Pllc | Psychologist | 1869 Melbourne St, Birmingham, MI 48009-1160 | 2020-10-27 |
| 1083213631 | Robert J. Sheppard Phd Pllc | Psychologist | 8339 Brookwood Dr, Portage, MI 49024-5207 | 2020-10-23 |
| 1952900037 | Jamila Simone Steward | Psychologist | 31275 Northwestern Hwy Ste 216, Farmington Hills, MI 48334-2570 | 2020-10-20 |
| 1992303465 | Madison Bryant | Psychologist | 1231 S Cass Lake Rd, Waterford, MI 48328-4739 | 2020-10-15 |
| 1730787664 | Athal Yako | Psychologist | 18230 Teresa Dr, Macomb, MI 48044-1681 | 2020-10-13 |
| 1538767678 | Up Telehealth, LLC | Psychologist | 228 W Washington St Ste 7, Marquette, MI 49855-4330 | 2020-10-12 |
| 1881292076 | Meaningful Change: Clinical & Consultation Psychology, Pllc | Psychologist | 1861 Woodland Dr, Mount Pleasant, MI 48858-1298 | 2020-10-11 |
| 1902404122 | Dorrean Riley | Psychologist | 19189 Lexington, Redford, MI 48240-2618 | 2020-10-09 |
| 1174130850 | Timber Creek Counseling West LLC | Psychologist | 2976 Ivanrest Ave Sw Ste 215, Grandville, MI 49418-1440 | 2020-09-28 |
| Find all providers with the same taxonomy | ||||
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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.