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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | 1705298 | 05 |
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 |
Street Address |
57418 CR 681 SUITE C |
City | HARTFORD |
State | MI |
Zip Code | 49057 |
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 |
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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 Code | 2084P0804X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Child & Adolescent Psychiatry |
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] |
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 |
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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.