MACOMB COUNTY COMMUNITY MENTAL HEALTH (NPI# 1851433643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851433643 |
| Entity Type | Organization |
| Organization Name | MACOMB COUNTY COMMUNITY MENTAL HEALTH |
| Practice Address |
21885 Dunham Road Clinton Twp MI 48036-1030 |
| Mailing Address |
207 Jeffrey Ave. Royal Oak MI 48073-2583 |
| Practice Telephone | 5867838113 |
| Practice Fax Number | 5864697925 |
| Mailing Telephone | 2485159035 |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2008-08-13 |
| Authorized Official Name | MRS. LISA MICHELLE BONSCOUR (SUPPORTS COORDINATOR) |
| Authorized Official Telephone | 5867838113 |
| Authorized Official Credential | BS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| 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 |
| 1255385399 | Macomb County Community Mental Health | Clinic/Center | 43740 N Groesbeck Hwy, Clinton Twp, MI 48036-1139 | 2006-05-22 |
| 1730563925 | Macomb County Community Mental Health | Community/Behavioral Health | 21885 Dunham Rd, Suite 1, Clinton Township, MI 48036-1030 | 2015-07-17 |
| 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 ROAD |
| City | CLINTON TWP |
| State | MI |
| Zip Code | 48036-1030 |
| 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 | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447863246 | Linda R Yaldo | Case Manager/Care Coordinator | 43740 N Groesbeck Hwy, Clinton Twp, MI 48036-1139 | 2020-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447851670 | Kendall Brocavich | Case Manager/Care Coordinator | 397 Blunk St, Plymouth, MI 48170-3752 | 2020-11-04 |
| 1932700242 | Best Choice Health Services, LLC | Case Manager/Care Coordinator | 19300 Greenfield Rd Ste C, Detroit, MI 48235-2003 | 2020-11-03 |
| 1871193557 | Pierce Reynolds | Case Manager/Care Coordinator | 160 E Cambourne St, Ferndale, MI 48220-1310 | 2020-10-30 |
| 1588262331 | Emmarose Malone Dwyer | Case Manager/Care Coordinator | 3843 Thomas Rd, Oxford, MI 48371-1556 | 2020-10-14 |
| 1861090953 | Jordan Johnson | Case Manager/Care Coordinator | 19710 Cherry Hill St, Southfield, MI 48076-1061 | 2020-10-12 |
| 1871191957 | Katrina M Dicesare | Case Manager/Care Coordinator | 39340 Medallion Ct Apt 7103, Farmington Hills, MI 48331-4913 | 2020-10-12 |
| 1144837618 | Lisa Glover | Case Manager/Care Coordinator | 1977 Radcliff Ave Se, Grand Rapids, MI 49506-5140 | 2020-09-28 |
| 1891301347 | Cierra C Coward | Case Manager/Care Coordinator | 20752 Camden Sq Apt 205, Southfield, MI 48076-3824 | 2020-09-21 |
| 1245845791 | Amanda Evanoff | Case Manager/Care Coordinator | 4619 Jerome Rd, Clarkston, MI 48346-3735 | 2020-09-11 |
| 1326653122 | Malika Triplett | Case Manager/Care Coordinator | 3002 Meisner Ave, Flint, MI 48506-2434 | 2020-09-09 |
| Find all providers with the same taxonomy | ||||
| City | CLINTON TWP |
| 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.