VAN BUREN COMMUNITY MENTAL HEALTH AUTHORITY


Address: 57418 Cr 681, Suite C, Hartford, MI 49057
Phone: 2696216251

VAN BUREN COMMUNITY MENTAL HEALTH AUTHORITY (NPI# 1982916045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1982916045
Entity Type Organization
Organization Name VAN BUREN COMMUNITY MENTAL HEALTH AUTHORITY
Practice Address 57418 Cr 681
Suite C
Hartford
MI 49057
Mailing Address P.o. Box 249
801 Hazen Street Suite C
Paw Paw
MI 49079-0249
Practice Telephone 2696216251
Practice Fax Number 2696216044
Mailing Telephone 2696575574
Mailing Fax Number 2696573474
Enumeration Date 2010-07-06
Last Update Date 2010-07-09
Authorized Official Name MRS. DEBRA L-R HESS (C.E.O.)
Authorized Official Telephone 2696575574
Is Organization Subpart Y
Parent Organization Name VAN BUREN COMMUNITY MENTAL HEALTH AUTHORITY

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YP2500X Counselor
Specialization: Professional
Behavioral Health & Social Service Providers
N 1041C0700X Social Worker
Specialization: Clinical
Behavioral Health & Social Service Providers
Y 2084P0804X Psychiatry & Neurology
Specialization: Child & Adolescent Psychiatry
Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MI 1705298 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1780011890 Van Buren Community Mental Health Authority Case Management 801 Hazen St, Suite C, Paw Paw, MI 49079-2008 2013-10-03
1295097889 Van Buren Community Mental Health Authority Social Worker 57418 County Road 681, Suite C, Hartford, MI 49057 2012-06-11
1003878554 Van Buren Community Mental Health Authority Social Worker 801 Hazen St, Ste C, Paw Paw, MI 49079-0249 2006-04-03

Office Location

Street Address 57418 CR 681
SUITE C
City HARTFORD
State MI
Zip Code 49057

Providers in the same location

NPI Name Taxonomy Address Enumeration
1639364888 Tammy Sue Curtis Social Worker 57418 Cr 681, Suite C, Hartford, MI 49057 2007-09-11
1093177040 Janette Rose Winters Dental Hygienist 57418 Cr 681, Hartford, MI 49057 2016-03-28
1164619425 Cristina Maria Caruso Social Worker 57418 Cr 681, Suite C, Hartford, MI 49057 2007-10-01
1871788752 Brian Frederick Brook Social Worker 57418 Cr 681, Suite B, Hartford, MI 49057 2007-09-13
1962697847 Marcella Elizabeth Bell Pitchford Social Worker 57418 Cr 681, Suite C, Hartford, MI 49057 2007-09-13
1477748424 Francene Marie Berglund Psychologist 57418 Cr 681, Suite C, Hartford, MI 49057 2007-09-12
1568657500 Tracy Lin Fay Psychologist 57418 Cr 681, Suite C, Hartford, MI 49057 2007-09-12
1275728222 Ruth Wellington Fuentes Social Worker 57418 Cr 681, Suite C, Hartford, MI 49057 2007-09-12
1407041668 Nancy Ann Custer Social Worker 57418 Cr 681, Suite B, Hartford, MI 49057 2007-09-11
1578758652 Mary Elizabeth Beckley Clark Social Worker 57418 Cr 681, Suite C, Hartford, MI 49057 2007-09-11
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679833958 Seth William Griffin Dentist 19 W. South St, Hartford, MI 49057 2012-05-21
1457624074 Sandra Lynn Sharp Social Worker 57150 Cr. 681, Hartford, MI 49057 2012-02-13
1467647412 Amanda Crystal-dawn Ramtahal Social Worker 57418 Cr. 681, Suite C., Hartford, MI 49057 2007-09-12
1447445697 Traci Jo Drake Social Worker 57150 Cr 681, Hartford, MI 49057 2007-09-11
1346340817 Drs. Ed & Sue Liebenthal Plc Dentist 19 W.south St., Hartford, MI 49057 2006-09-25
1295097889 Van Buren Community Mental Health Authority Social Worker 57418 County Road 681, Suite C, Hartford, MI 49057 2012-06-11
1629371091 Nora Adessa Fox-wentz Psychologist 57418 Cr. 681, Suite C, Hartford, MI 49057 2010-12-07
1164618195 Steven Jay Koster Counselor 57150 Cr 681, Hartford, MI 49057 2007-09-24
1558556506 Lisa Marie Pearson Social Worker 57150 Cr 681, Hartford, MI 49057 2007-09-12
1063420529 Ahad E Lotfi Chiropractor 60069 Cr 687, Hartford, MI 49057-0621 2006-08-03
Find all providers in zip 49057

Taxonomy Information

Taxonomy Code 2084P0804X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Child & Adolescent Psychiatry

Taxonomy Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1750795217 Lovejit Kaur Psychiatry & Neurology 282 Washington St, Hartford, CT 06106-3322 2014-06-12
1972769776 Ernest Jermin II Psychiatry & Neurology 500 Blue Hills Ave, Hartford, CT 06112-1500 2008-07-31
1841483138 Francisco A Ripepi Psychiatry & Neurology 200 Retreat Ave, Hartford Hospital Child Psychiatry, Hartford, CT 06106 2007-08-21
1861683039 Sudeshna Basu Psychiatry & Neurology 200 Retreat Avenue, Hartford Hospital Child Psychiatry, Hartford, CT 06106-3310 2007-08-05
1992903330 Salma Malik Psychiatry & Neurology 200 Retreat Avenue, Hartford Hospital Child Psychiatry, Hartford, CT 06106-3309 2007-07-06
1821292392 Ramesh K Hemnani Psychiatry & Neurology 80 Jefferson St, Hartford, CT 06106-5035 2007-06-11
1336351048 Samya Hashem Hawley Psychiatry & Neurology 1680 Albany Ave, Hartford, CT 06105-1001 2007-05-04
1972721405 Jeffrey Seth Landau Psychiatry & Neurology 682 Prospect Ave, Hartford, CT 06105-4238 2007-04-22
1538245766 Bernard J Langenauer Psychiatry & Neurology 675 Tower Ave, Suite 301, Hartford, CT 06112-1260 2006-10-31
1457447187 Robert A Sahl Psychiatry & Neurology 200 Retreat Avenue, Hartford Hospital Child Psychiatry, Hartford, CT 06106 2006-10-04
Find all providers in HARTFORD

Competitor

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City HARTFORD
Zip Code 49057

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Dataset Information

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.

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