MANISTEE BENZIE COMMUNITY MENTAL HEALTH (NPI# 1699814905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699814905 |
| Entity Type | Organization |
| Organization Name | MANISTEE BENZIE COMMUNITY MENTAL HEALTH |
| Practice Address |
310 Glocheski Dr Manistee MI 49660-2639 |
| Mailing Address |
310 Glocheski Dr Po Box 335 Manistee MI 49660-2639 |
| Practice Telephone | 8773982013 |
| Mailing Telephone | 8773982013 |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | RUTH MEIKLE (FINANCE OFFICER) |
| Authorized Official Telephone | 2318822187 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | ========= | MI | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1705304 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366806432 | Manistee Benzie Community Mental Health | Clinic/Center | 310 Glocheski Dr, Manistee, MI 49660-2639 | 2016-04-05 |
| 1063581205 | Manistee Benzie Community Mental Health | Community/Behavioral Health | 395 3rd St, Manistee, MI 49660-1718 | 2006-11-06 |
| Street Address |
310 GLOCHESKI DR |
| City | MANISTEE |
| State | MI |
| Zip Code | 49660-2639 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437230596 | Thomas Zatolokin | Psychiatry & Neurology | 310 Glocheski Dr, Manistee, MI 49660-0335 | 2006-10-17 |
| 1275011520 | Jo'dee Fisk | Social Worker | 310 Glocheski Dr, Manistee, MI 49660-2639 | 2018-07-30 |
| 1467971606 | Carl Jaskiw | Behavior Technician | 310 Glocheski Dr, Manistee, MI 49660-2639 | 2017-09-19 |
| 1386183226 | William Ward | Community Health Worker | 310 Glocheski Dr, Manistee, MI 49660-2639 | 2017-02-13 |
| 1275072183 | Connie Jankwietz | Community Health Worker | 310 Glocheski Dr, Manistee, MI 49660-2639 | 2017-02-13 |
| 1437697604 | Ann E Morehouse | Registered Nurse | 310 Glocheski Dr, Manistee, MI 49660-2639 | 2017-02-07 |
| 1568910446 | Jessica Derosia | Community Health Worker | 310 Glocheski Dr, Manistee, MI 49660-2639 | 2016-09-20 |
| 1801344700 | Sonya Broadbent | Social Worker | 310 Glocheski Dr, Manistee, MI 49660-2639 | 2016-09-20 |
| 1699221358 | Mark Anthony Pettinato | Counselor | 310 Glocheski Dr, Manistee, MI 49660-2639 | 2016-08-31 |
| 1366806432 | Manistee Benzie Community Mental Health | Clinic/Center | 310 Glocheski Dr, Manistee, MI 49660-2639 | 2016-04-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083192306 | Margaret R Batzer | Acupuncturist | 352 1st St, Manistee, MI 49660 | 2018-07-30 |
| 1821590373 | Esther Sigurdardottir | Physical Therapist | 1465 E. Parkdale Av, Manistee, MI 49660 | 2018-03-01 |
| 1104328657 | Bryan Keith Kidd | Physical Therapist | 1465 Parkdale Avenue, Manistee, MI 49660 | 2018-03-01 |
| 1790153799 | Deborah Ann Brandt | Registered Nurse | 318 River Street, Friends Who Care, Manistee, MI 49660 | 2015-09-08 |
| 1265811624 | Joyce Eileen Copeland | Assisted Living Facility | 3644 Chippewa Hwy, Manistee, MI 49660 | 2015-05-19 |
| 1275927931 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 16 Caberfae Hwy, Manistee, MI 49660 | 2015-03-20 |
| 1518244912 | Mara Lane Mckinley | Nurse Practitioner | 1465 E. Parkdale Ave3., Manistee, MICHIGAN 49660 | 2011-11-14 |
| 1477749406 | Catherine Imelda Oertel | Social Worker | 2198 Us 31 South, Manistee, MI 49660 | 2007-09-24 |
| 1811109051 | Goodwill Optical Inc | Optometrist | 282 12th St, Manistee, MI 49660 | 2007-05-03 |
| 1144364381 | Layne Christopher Godzina | Dentist | 422 First Street, Manistee, MI 49660 | 2007-02-19 |
| Find all providers in zip 49660 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457861908 | Edward J. Loftus Ma LLP | Community/Behavioral Health | 50 Filer St Ste 210e, Manistee, MI 49660-2787 | 2017-10-10 |
| 1063581205 | Manistee Benzie Community Mental Health | Community/Behavioral Health | 395 3rd St, Manistee, MI 49660-1718 | 2006-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295336394 | Kcs Community Services Inc | Community/Behavioral Health | 16577 Muirland St, Detroit, MI 48221-3012 | 2020-11-04 |
| 1407457864 | Initial Steps Behavioral and Learning Services | Community/Behavioral Health | 50203 Paine St, Canton, MI 48188-3332 | 2020-11-03 |
| 1720688617 | Mjw Counseling Services | Community/Behavioral Health | 564 Marcia St Sw, Wyoming, MI 49509-4013 | 2020-10-29 |
| 1174122345 | Allison Johnston Lpc | Community/Behavioral Health | 51500 Birch St. Suite C, New Baltimore, MI 48047 | 2020-10-20 |
| 1003414632 | Res-care Premier, Inc. | Community/Behavioral Health | 209 Kings Ln, Battle Creek, MI 49014-7832 | 2020-10-15 |
| 1104423508 | Cherry Street Services Inc | Community/Behavioral Health | 100 Wexford St Se Rm 214, Wyoming, MI 49548-2212 | 2020-10-08 |
| 1447857156 | Lauren Elizabeth Thayer | Community/Behavioral Health | 3257 City View Ct, Hudsonville, MI 49426-9013 | 2020-10-06 |
| 1093312613 | Guarding Therapy & Counseling Services, Pllc | Community/Behavioral Health | 26847 Grand River Ave Ste 24, Redford, MI 48240-1544 | 2020-10-06 |
| 1053928507 | Therapy With Nicole Pllc | Community/Behavioral Health | 4867 E. Beltline Ave. Ne, Building #1 Lower Level, Grand Rapids, MI 49525 | 2020-09-29 |
| 1013524032 | I Need A Moment, LLC | Community/Behavioral Health | 20411 Alhambra St, Southfield, MI 48076-5422 | 2020-09-24 |
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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.