COMMUNITY MENTAL HEALTH FOR CENTRAL MICHIGAN (NPI# 1740528900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1740528900 |
Entity Type | Organization |
Organization Name | COMMUNITY MENTAL HEALTH FOR CENTRAL MICHIGAN |
Practice Address |
439 S Ross St Beaverton MI 48612-9101 |
Mailing Address |
301 S Crapo St Suite 100 Mount Pleasant MI 48858-2941 |
Practice Telephone | 9892463500 |
Mailing Telephone | 9897736961 |
Mailing Fax Number | 9899534451 |
Enumeration Date | 2013-01-23 |
Last Update Date | 2013-01-23 |
Authorized Official Name | LINDA KAUFMANN (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 9897736961 |
Authorized Official Credential | LMSW |
Is Organization Subpart | N |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | 4344340 | 05 | |
MI | 4352754 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134554975 | Community Mental Health for Central Michigan | Case Management | 220 Goebel Ave, Roscommon, MI 48653-9591 | 2013-09-12 |
1407123482 | Community Mental Health for Central Michigan | Community/Behavioral Health | 218 Fast Ice Drive, Midland, MI 48642 | 2011-11-19 |
1609412840 | Community Mental Health for Central Michigan | Social Worker | 301 S Crapo St Ste 200, Mt Pleasant, MI 48858-2941 | 2019-11-22 |
1336467729 | Community Mental Health for Central Michigan | Clinic/Center | 301 S Crapo St, Suite 100, Mt Pleasant, MI 48858-2941 | 2010-05-10 |
1689992299 | Community Mental Health for Central Michigan | Clinic/Center | 301 S Crapo St, Suite 100, Mt Pleasant, MI 48858-2941 | 2010-05-06 |
1336462001 | Community Mental Health for Central Michigan | General Practice | 301 S Crapo St, Suite 100, Mt Pleasant, MI 48858-2941 | 2010-03-09 |
1881622892 | Community Mental Health for Central Michigan | Counselor | 301 S Crapo St, Suite 100, Mt Pleasant, MI 48858-2941 | 2006-06-29 |
Street Address |
439 S ROSS ST |
City | BEAVERTON |
State | MI |
Zip Code | 48612-9101 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366484271 | Danny D Greig II | Emergency Medicine | 439 S Ross St, Beaverton, MI 48612-9101 | 2006-06-12 |
1972073807 | Jenna M Mccummings | Nurse Practitioner | 439 S Ross St, Beaverton, MI 48612-9101 | 2018-12-04 |
1982139382 | Cara Lee Crawford-bartle | Family Medicine | 439 S Ross St, Beaverton, MI 48612-9101 | 2017-04-24 |
1194174623 | Brooke Illig | Social Worker | 439 S Ross St, Beaverton, MI 48612-9101 | 2016-06-06 |
1275936445 | Susan M Knoerr | Nurse Practitioner | 439 S Ross St, Beaverton, MI 48612-9101 | 2014-10-02 |
1306186812 | Amanda Lynn Cisse | Social Worker | 439 S Ross St, Beaverton, MI 48612-9101 | 2013-02-20 |
1114278140 | Midmichigan Health Services | Clinic/Center | 439 S Ross St, Beaverton, MI 48612-9101 | 2012-10-01 |
1407169832 | Ann Marie Roehrs | Nurse Practitioner | 439 S Ross St, Midmichigan Medical Offices-beaverton, Beaverton, MI 48612-9101 | 2010-07-14 |
1346552718 | Vinosha Balakrishnan | Family Medicine | 439 S Ross St, Beaverton, MI 48612-9101 | 2010-07-13 |
1356400923 | Steven Woodward Picard | Family Medicine | 439 S Ross St, Beaverton, MI 48612-9101 | 2006-12-08 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457872525 | Candy Rene Simpson | Behavioral Analyst | 385 W Brown St, Beaverton, MI 48612 | 2017-06-29 |
1982975397 | Midmichigan Medical Center Gladwin | Clinic/Center | 439 South Ross Street, Beaverton, MI 48612 | 2012-01-17 |
1477738961 | Dr. Dale J Moser Od | Eyewear Supplier (Equipment, not the service) | 334 N Ross, Beaverton, MI 48612 | 2008-01-03 |
1285186486 | Cheryl Ann Biddinger | Counselor | 201 S Ross St, Beaverton, MI 48612 | 2016-11-04 |
1134276371 | Arlene Lynn Krager | Counselor | 201 S Ross St, Beaverton, MI 48612-8113 | 2007-01-03 |
1245731280 | Jessica Sullivan | Physical Therapist | 106 Tonkin St, Beaverton, MI 48612-8116 | 2018-02-26 |
1497844047 | The Beaverton Pharmacy Inc | Pharmacy | 127 W Brown St, Beaverton, MI 48612-8119 | 2006-10-12 |
1760424972 | Richard A Call | Physician Assistant | 129 W Brown St, Beaverton, MI 48612-8119 | 2006-06-12 |
1285182899 | Family Health & Wellness P.C. | Physician Assistant | 129 W Brown St, Beaverton, MI 48612-8119 | 2016-09-13 |
1952858987 | Family Health & Wellness PC | Clinic/Center | 129 W Brown St, Beaverton, MI 48612-8119 | 2016-09-07 |
Find all providers in zip 48612 |
Taxonomy Code | 261QM0801X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Mental Health (Including Community Mental Health Center) |
Definition to come... |
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1235442203 | Liana Hategan Md PC | Clinic/Center | 3370 Sw 192nd Ave, Beaverton, OR 97003-2346 | 2010-07-20 |
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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.