Active NPI
Crossroads of Muskegon , LLC
- Professional Counselor
- Muskegon, MI
National Provider Identifier
1043469307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 4301082875
- Legal business name
- CROSSROADS OF MUSKEGON , LLC
- Practice address
- 1541 Peck St
Muskegon, MI 49441-2127 - Phone
- (231) 747-7530
- Fax
- (231) 747-7531
- NPI assigned
- Sep 11, 2008
- Last updated
- Oct 1, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Nancy Claire Devine, MD
- Title
- Psychiatrist
- Phone
- (231) 670-5538
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 4301082875 | MI | Primary |
Addresses
Primary practice location
1541 Peck St
Muskegon, MI 49441-2127
Mailing address
1541 Peck St
Muskegon, MI 49441-2127
Phone (231) 747-7530
National Provider Directory
National Provider DirectoryLocations
2272 E Apple Ave
Muskegon, MI 49442
Phone (231) 728-4797
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Psychiatry Physician
- Muskegon, MI
- NPI 1437197050
-
- Physician Assistant
- Norton Shores, MI
- NPI 1295749463
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221091200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1222819200000",
"number": "1043469307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1541 PECK ST",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494412127",
"telephone_number": "231-747-7530",
"fax_number": "231-747-7531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1541 PECK ST",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494412127",
"telephone_number": "231-747-7530",
"fax_number": "231-747-7531"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CROSSROADS OF MUSKEGON , LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-09-11",
"last_updated": "2008-10-01",
"status": "A",
"authorized_official_last_name": "DEVINE",
"authorized_official_first_name": "NANCY",
"authorized_official_middle_name": "CLAIRE",
"authorized_official_title_or_position": "PSYCHIATRIST",
"authorized_official_telephone_number": "231-670-5538",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "MI",
"license": "4301082875",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Muskegon, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.