MACOMB COUNTY COMMUNITY MENTAL HEALTH (NPI# 1730563925) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730563925 |
| Entity Type | Organization |
| Organization Name | MACOMB COUNTY COMMUNITY MENTAL HEALTH |
| Practice Address |
21885 Dunham Rd Suite 1 Clinton Township MI 48036-1030 |
| Practice Telephone | 5864695950 |
| Mailing Telephone | 5864695950 |
| Enumeration Date | 2015-07-17 |
| Last Update Date | 2015-07-17 |
| Authorized Official Name | MRS. ROXANNE MITCHELL (WRAPAROUND FACILITATOR) |
| Authorized Official Telephone | 8103355029 |
| Authorized Official Credential | MS, LLPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 6401014385 | MI | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033539069 | Macomb County Community Mental Health | Community/Behavioral Health | 6555 15 Mile Road, Sterling Heights, MI 48312 | 2014-04-17 |
| 1851433643 | Macomb County Community Mental Health | Case Manager/Care Coordinator | 21885 Dunham Road, Clinton Twp, MI 48036-1030 | 2007-02-12 |
| 1255385399 | Macomb County Community Mental Health | Clinic/Center | 43740 N Groesbeck Hwy, Clinton Twp, MI 48036-1139 | 2006-05-22 |
| 1568846897 | Macomb County Community Mental Health | Point of Service | 21885 Dunham Rd, Suite 1, Clinton Township, MI 48036-1030 | 2015-07-16 |
| 1134470495 | Macomb County Community Mental Health | Case Management | 43740 N Groesbeck Hwy, Clinton Township, MI 48036-1139 | 2012-09-27 |
| 1144578444 | Macomb County Community Mental Health | Case Management | 38251 S Groesbeck Hwy, Clinton Township, MI 48036-1929 | 2012-08-17 |
| 1891951299 | Macomb County Community Mental Health | Community/Behavioral Health | 21885 Dunham Rd, Ste.1, Clinton Twp, MI 48036-1030 | 2008-08-05 |
| 1548397383 | Macomb County Community Mental Health | Community/Behavioral Health | 38251 S Groesbeck Hwy, Clinton Township, MI 48036-1929 | 2007-02-28 |
| 1033246871 | Macomb County Community Mental Health | Community/Behavioral Health | 43740 N Groesbeck Hwy, Clinton Township, MI 48036-1139 | 2007-02-28 |
| 1770610834 | Macomb County Community Mental Health | Community/Behavioral Health | 3701 E 13 Mile Rd, Suite B, Warren, MI 48092-3795 | 2007-02-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MACOMB COUNTY COMMUNITY MENTAL HEALTH | 22550 Hall Rd, Clinton Township, MI 48036-1189 |
| Street Address |
21885 DUNHAM RD SUITE 1 |
| City | CLINTON TOWNSHIP |
| State | MI |
| Zip Code | 48036-1030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831237288 | Michael Larry Byck | Psychologist | 21885 Dunham Rd, Clinton Township, MI 48036-1030 | 2007-02-01 |
| 1710539655 | Samantha Ann Shankin | Social Worker | 21885 Dunham Rd, Clinton Township, MI 48036-1030 | 2019-07-11 |
| 1104393628 | Samantha L Winters | Social Worker | 21885 Dunham Rd, Clinton Township, MI 48036-1030 | 2018-11-02 |
| 1467927632 | Tracie Johnson | Counselor | 21885 Dunham Rd, Clinton Township, MI 48036-1030 | 2018-10-03 |
| 1548748072 | Cherrell Zeimis | Social Worker | 21885 Dunham Rd, Clinton Township, MI 48036-1030 | 2018-08-06 |
| 1306354907 | Jessica L Murfin | Social Worker | 21885 Dunham Rd, Clinton Township, MI 48036-1030 | 2018-01-17 |
| 1770011207 | Ashley Nicole Douglas | Social Worker | 21885 Dunham Rd, Clinton Township, MI 48036-1030 | 2017-05-29 |
| 1366806531 | Patricia Ballard | Counselor | 21885 Dunham Rd, Clinton Township, MI 48036-1030 | 2016-04-13 |
| 1780048504 | Darnicia Simley | Counselor | 21885 Dunham Rd, Clinton Township, MI 48036-1030 | 2016-04-07 |
| 1265817340 | Mary Bowers | Point of Service | 21885 Dunham Rd, Clinton Township, MI 48036-1030 | 2015-07-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043728918 | Joseph John Memminger IIi | Pathology | 23885 Denton St Ste B, Clinton Township, MI 48036 | 2018-01-13 |
| 1124563267 | Melinda Fiends | Social Worker | 42950 Stepnitz, Clinton Township, MI 48036 | 2016-12-28 |
| 1689119729 | The Salvation Army Harbor Light Macomb | Substance Abuse Rehabilitation Facility | 42950 Stepnitz Drive, Clinton Township, MI 48036 | 2016-12-28 |
| 1639573033 | Mycare Health Center | Clinic/Center | 43740 Groesbeck, Clinton Township, MI 48036 | 2014-10-14 |
| 1427368992 | Prestigious Transportation | Non-emergency Medical Transport (VAN) | 22931 N.nunneley Apt. 203, Clinton Township, MI 48036 | 2010-10-18 |
| 1649413436 | Robert B Hengehold | Pharmacist | 37165 Groesbeck Hwy., Clinton Twp., MI 48036 | 2009-04-09 |
| 1548408461 | Rodolfo Sia Yapchai | Internal Medicine | 37900 Saddle Lane, Clinton Twp, MI 48036 | 2009-01-30 |
| 1811135775 | Anthony Frank Balcerzak | Rehabilitation Counselor | 38516 N Gratiot Avenue, Clinton Twp, MI 48036 | 2009-01-30 |
| 1508034661 | Laurie J Church | Counselor | 22800 Hall Rd Ste 240, Clinton Township, MI 48036 | 2008-02-12 |
| 1912128182 | Phyllis Ann Billings-mcneil | Social Worker | 38251 Groesbeck Highway, Clinton Twp, MI 48036 | 2007-05-02 |
| Find all providers in zip 48036 | ||||
| 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 |
|---|---|---|---|---|
| 1851833446 | Senior Healthcare Network Pllc | Community/Behavioral Health | 41025 Vista Woods Way, Clinton Township, MI 48038-4536 | 2016-11-14 |
| 1982082905 | The Spirit of Oneness | Community/Behavioral Health | 15630 Lakeside Village Drive, 304, Clinton Township, MI 48038 | 2015-05-11 |
| 1366785032 | Rehabilitative Counseling and Behavioral Services of America | Community/Behavioral Health | 33800 Groesbeck Hwy, Clinton Township, MI 48035-3970 | 2013-04-01 |
| 1023199965 | Macomb Oakland Regional Center, Inc | Community/Behavioral Health | 15600 19 Mile Rd, Clinton Township, MI 48038-3502 | 2006-10-18 |
| 1427585991 | Henry Ford Hospital | Community/Behavioral Health | 15420 19 Mile Rd, Clinton Township, MI 48038-6339 | 2017-05-16 |
| 1649717356 | Preferred Counseling Professionals LLC | Community/Behavioral Health | 42473 Garfield Rd, Clinton Township, MI 48038-1651 | 2017-01-20 |
| 1104377415 | Priority Professional Counseling Associates | Community/Behavioral Health | 42473 Garfield Rd, Clinton Township, MI 48038-1651 | 2016-10-21 |
| 1417408337 | Blue Water Psychology, LLC | Community/Behavioral Health | 42473 Garfield Rd, Clinton Township, MI 48038-1651 | 2016-10-14 |
| 1023439270 | Denise M Hubert, Lmsw Professional Limited Liability Company | Community/Behavioral Health | 16950 19 Mile Rd, Suite 3f, Clinton Township, MI 48038-4804 | 2013-12-13 |
| 1679706667 | Center for Positive Living Supports | Community/Behavioral Health | 16200 19 Mile Rd, Clinton Township, MI 48038-1103 | 2009-08-25 |
| Find all providers in CLINTON TOWNSHIP | ||||
| City | CLINTON TOWNSHIP |
| Zip Code | 48036 |
Please comment or provide details below to improve the information on MACOMB COUNTY COMMUNITY MENTAL HEALTH.
| 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.