Bio Psycho Social Holistic Mental Health Staffing, LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

BIO PSYCHO SOCIAL HOLISTIC MENTAL HEALTH STAFFING, LLC

Practice address

3222 Eden TRL
Brighton, MI 48114-9185

Phone

(810) 623-1226

NPI assigned

Sep 2, 2021

Organization subpart

No

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

Authorized official

Name

Maria KottkeNPI 1033544945

Title

Owner/Nurse Practitioner

Phone

(810) 623-1226

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maria Kottke, FPMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Brighton, MI
  • NPI 1033544945
  Medicare reassignment NPD Authorized official
• Merton Anthony Shill, PH.D.

  • Psychoanalysis Psychologist
  • Ann Arbor, MI
  • NPI 1891875761
  NPD

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

{
    "created_epoch": "1630540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630540800000",
    "number": "1053089193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3222 EDEN TRL",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481149185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3222 EDEN TRL",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481149185",
            "telephone_number": "810-623-1226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIO PSYCHO SOCIAL HOLISTIC MENTAL HEALTH STAFFING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-02",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A",
        "authorized_official_last_name": "KOTTKE",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "OWNER/NURSE PRACTITIONER",
        "authorized_official_telephone_number": "810-623-1226"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Bihlmeyer
• Matthew Bill
• Lizabeth Ann Binns, PA-C
• Binson's Hospital Supplies, Inc. (Binson's Home Health Care Centers)
• Binson's Hospital Supplies, Inc. (Binson's Home Health Care Centers)
• Bio-Medical Applications of Michigan, Inc. (Fresenius Medical Care Brighton)
• Bipin Desai MD (Livingston Pediatric Center)
• John E. Birchmeier, O.D.
• Stephen Willard Bishop, M.D.
• BJC Foot and Ankle PC (Brighton Foot and Ankle)

• Psychiatric/Mental Health Nurse Practitioner in Brighton, MI
• Providers in Brighton, 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 Sep 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.