NPIMap

Organization Active NPI

Aces Pediatric Behavioral Health PLLC

  • Adolescent and Children Mental Health Clinic/Center
  • Cheboygan, MI
National Provider Identifier
1033835707
Registry record updated Jan 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
ACES PEDIATRIC BEHAVIORAL HEALTH PLLC
Practice address
10823 N Straits Hwy Ste B
Cheboygan, MI 49721-9077
Phone
(231) 268-1149
Fax
(231) 268-3369
NPI assigned
Oct 14, 2022
Last updated
Jan 28, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2023

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

Authorized official

Name
Ms. Tamyra N Cooper, LCSWNPI 1265098693
Title
Clinical Director
Phone
(231) 268-1149

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

10823 N Straits Hwy Ste B
Cheboygan, MI 49721-9077

Mailing address

PO Box 122
Cheboygan, MI 49721-0122
Phone (231) 268-1149

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL tcooper.msw@outlook.com Direct

National Provider Directory

National Provider Directory

Locations

10823 N Straits Hwy
#B
Cheboygan, MI 49721
Phone (231) 268-1149

217 S Huron St
Ste 1
Cheboygan, MI 49721

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1665705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674864000000",
    "number": "1033835707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 122",
            "city": "CHEBOYGAN",
            "state": "MI",
            "postal_code": "497210122",
            "telephone_number": "231-268-1149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10823 N STRAITS HWY STE B",
            "city": "CHEBOYGAN",
            "state": "MI",
            "postal_code": "497219077",
            "telephone_number": "231-268-1149",
            "fax_number": "231-268-3369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACES PEDIATRIC BEHAVIORAL HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-14",
        "last_updated": "2023-01-28",
        "certification_date": "2023-01-28",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "TAMYRA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "231-268-1149",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "tcooper.msw@outlook.com",
            "affiliation": "N",
            "endpointDescription": "HIPPA compliant email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "ACES Pediatric Behavioral Health, PLLC email",
            "address_1": "10823 N Straits Hwy Ste B",
            "city": "Cheboygan",
            "state": "MI",
            "country_code": "US",
            "postal_code": "497219077",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cheboygan, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2023; 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.