Medical Family Therapy LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

4704156640 Issued in MI

Legal business name

MEDICAL FAMILY THERAPY LLC

Practice address

818 State St
Boyne City, MI 49712-9179

Phone

(231) 578-2006

NPI assigned

Apr 13, 2009

Last updated

Apr 13, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Laurie A Anger, PMHNP-BC

Title

President

Phone

(231) 578-2006

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1239580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239580800000",
    "number": "1043453541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 STATE ST",
            "city": "BOYNE CITY",
            "state": "MI",
            "postal_code": "497129179",
            "telephone_number": "231-578-2006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 STATE ST",
            "city": "BOYNE CITY",
            "state": "MI",
            "postal_code": "497129179",
            "telephone_number": "231-578-2006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL FAMILY THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-13",
        "last_updated": "2009-04-13",
        "status": "A",
        "authorized_official_last_name": "ANGER",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "231-578-2006",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704156640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Marietti
• Max H Engelman
• McLaren Central Michigan (McLaren Northern Family Medicine / Urgent Care)
• McLaren Central Michigan (McLaren Northern Michigan Med Center - Boyne City)
• Tammy Croy McMillian, PH.D., LMSW
• Gary J. Mellon, OD
• Michael a. Fleming D.D.S., P.C.
• Kelly Marie Miller, MA, LPC, NCC
• Syndal Mills, LMSW
• Amy L Mitchell, MD

• Psychiatric/Mental Health Nurse Practitioner in Boyne City, MI
• Providers in Boyne City, MI by specialty
• Psychiatric/Mental Health Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2009; 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.