Organization Active NPI

The Centre a Mental Health Company PLLC

  • Psychiatry Physician
  • Spring Lake, MI
National Provider Identifier
1003533845
Registry record updated Oct 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
THE CENTRE A MENTAL HEALTH COMPANY PLLC
Practice address
622 E Savidge St Ste 5
Spring Lake, MI 49456-1957
Phone
(616) 935-2151
Fax
(616) 469-1822
NPI assigned
Oct 24, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Daniel Robert Michura Jr.
Title
Manager
Phone
(616) 935-2151

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

622 E Savidge St Ste 5
Spring Lake, MI 49456-1957

Mailing address

2319 Bloomfield CT
Norton Shores, MI 49441-4472
Phone (616) 935-2151

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL thecentremh@gmail.com

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1666569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666569600000",
    "number": "1003533845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2319 BLOOMFIELD CT",
            "city": "NORTON SHORES",
            "state": "MI",
            "postal_code": "494414472",
            "telephone_number": "616-935-2151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 E SAVIDGE ST STE 5",
            "city": "SPRING LAKE",
            "state": "MI",
            "postal_code": "494561957",
            "telephone_number": "616-935-2151",
            "fax_number": "616-469-1822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CENTRE A MENTAL HEALTH COMPANY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-24",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-22",
        "status": "A",
        "authorized_official_last_name": "MICHURA",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "616-935-2151",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "thecentremh@gmail.com",
            "affiliation": "N",
            "address_1": "622 E Savidge St Ste 5",
            "city": "Spring Lake",
            "state": "MI",
            "country_code": "US",
            "postal_code": "494561957",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Spring Lake, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.