NPIMap

Organization Active NPI

Macomb County Community Mental Health

  • Community/Behavioral Health Agency
  • Clinton Township, MI
National Provider Identifier
1033246871
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
4704176163 Issued in MI
Legal business name
MACOMB COUNTY COMMUNITY MENTAL HEALTH
Practice address
43740 N Groesbeck Hwy
Clinton Township, MI 48036-1139
Phone
(586) 469-7789
NPI assigned
Feb 28, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Jacqueline Anne Achille, RN,BSN
Title
Obra Assessor
Phone
(586) 469-7789

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 4704176163 MI Primary

Addresses

Primary practice location

43740 N Groesbeck Hwy
Clinton Township, MI 48036-1139

Mailing address

17054 Huntington Woods Dr
Macomb, MI 48042-2919
Phone (586) 994-0113

National Provider Directory

National Provider Directory
Tax ID family
Macomb Cy Com Men HLTH15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033246871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17054 HUNTINGTON WOODS DR",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480422919",
            "telephone_number": "586-994-0113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43740 N GROESBECK HWY",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480361139",
            "telephone_number": "586-469-7789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACOMB COUNTY COMMUNITY MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ACHILLE",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OBRA  ASSESSOR",
        "authorized_official_telephone_number": "586-469-7789",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN,BSN"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "4704176163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.