Neal Fellows (NPI# 1558433904, PAC ID# 1153235668) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1558433904 |
| PAC ID by PECOS | 1153235668 |
| Professional Enrollment ID | I20031118000941 |
| Full Name | Neal Fellows |
| Organization Legal Name | NORTHERN LAKES COMMUNITY MENTAL HEALTH AUTHORITY |
| Address |
105 Hall St Unit A Traverse City MI 49684-2288 |
| Phone Number | 2319224850 |
| Gender | M |
| Credential | MD |
| Medical School | WEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1988 |
| Primary Specialty | PSYCHIATRY |
| Group Practice PAC ID | 8022921154 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230097 | MUNSON MEDICAL CENTER |
| 231300 | PAUL OLIVER MEMORIAL HOSPITAL |
| 230058 | MUNSON HEALTHCARE GRAYLING HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 204 Meadows Dr, Grayling, MI 49738-2013 | 9893488522 | NORTHERN LAKES COMMUNITY MENTAL HEALTH AUTHORITY |
| 105 Hall St, Unit A, Traverse City, MI 49684-2288 | 2319224850 | NORTHERN LAKES COMMUNITY MENTAL HEALTH AUTHORITY |
| Organization Legal Name | NORTHERN LAKES COMMUNITY MENTAL HEALTH AUTHORITY |
| Physicians | 27 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Luzia Tuggle | Nurse Practitioner | Northern Lakes Community Mental Health Authority | 105 Hall St, Unit A, Traverse City, MI 49684-2288 |
| Krista Patz | Clinical Social Worker | Northern Lakes Community Mental Health Authority | 105 Hall St A, Traverse City, MI 49684-2288 |
| Rachel A Ward | Psychiatry | Northern Lakes Community Mental Health Authority | 2715 Towline Rd, Houghton Lake, MI 48629 |
| James E Benson | Clinical Social Worker | Northern Lakes Community Mental Health Authority | 527 Cobb St, Cadillac, MI 49601-2540 |
| Curtis Albert Cummins | Psychiatry | Northern Lakes Community Mental Health Authority | 2715 S Townline Rd, Houghton Lake, MI 48629-9294 |
| Scott Monteith | Psychiatry | Northern Lakes Community Mental Health Authority | 527 Cobb St, Cadillac, MI 49601-2540 |
| Cara Eliza Brinzeiu | Psychiatry | Northern Lakes Community Mental Health Authority | 2715 S Townline Rd, Houghton Lake, MI 48629-9294 |
| Kelley A Mahar | Psychiatry | Northern Lakes Community Mental Health Authority | 2715 S Townline Rd, Houghton Lake, MI 48629-9294 |
| Mary Beth Kyro | Occupational Therapy | Northern Lakes Community Mental Health Authority | 527 Cobb St, Cadillac, MI 49601-2540 |
| Elizabeth Ot Gyr | Occupational Therapy | Northern Lakes Community Mental Health Authority | 527 Cobb St, Cadillac, MI 49601-2540 |
| Street Address |
105 HALL ST UNIT A |
| City | TRAVERSE CITY |
| State | MI |
| Zip | 49684-2288 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Luzia Tuggle | Nurse Practitioner | Northern Lakes Community Mental Health Authority | 105 Hall St, Unit A, Traverse City, MI 49684-2288 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John F Ulrich | Psychologist, Clinical | 102 W Front St, Suite 402, Traverse City, MI 49684-1201 | |
| Melanie S Villanueva | Clinical Social Worker | 134 W State St, Suite 202, Traverse City, MI 49684-1491 | |
| Hillary R Toennies | Qualified Audiologist | Family Hearing LLC | 315 N Division St, Suite 120, Traverse City, MI 49684-2009 |
| Paul Andrew Hanrahan | Qualified Audiologist | Family Hearing LLC | 315 N Division St, Suite 120, Traverse City, MI 49684-2009 |
| Barbara Jones Smith | Clinical Psychologist | Barbara Jones Smith Phd PC | 821 S Elmwood C, Traverse City, MI 49684-2191 |
| Julie Slough Runstrom | Optometry | Nichols Optical Inc | 336 W Front St, Traverse Vision, Traverse City, MI 49684-2204 |
| Christopher James Kowalski | Optometry | Nichols Optical Inc | 336 W Front St, Traverse Vision, Traverse City, MI 49684-2204 |
| David Cannon | Optometry | Nichols Optical Inc | 336 W Front St, Traverse Vision, Traverse City, MI 49684-2204 |
| Karisa Ritter | Optometry | Nichols Optical Inc | 336 W Front St, Traverse Vision, Traverse City, MI 49684-2204 |
| Elizabeth J Nichols | Optometry | Nichols Optical Inc | 336 W Front St, Traverse Vision, Traverse City, MI 49684-2204 |
| Find all physicians in zip 49684 | |||
| City | TRAVERSE CITY |
| Zip Code | 49684 |
| Specialty | PSYCHIATRY |
| City + Specialty | TRAVERSE CITY + PSYCHIATRY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.