Southwest Michigan Behavioral Health

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SOUTHWEST MICHIGAN BEHAVIORAL HEALTH

Practice address

5250 Lovers LN Ste 200
Portage, MI 49002-1579

Phone

(800) 676-0423

NPI assigned

Apr 3, 2017

Organization subpart

No

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

Authorized official

Name

Ms. Anne Wickham

Title

Director of Operations

Phone

(269) 488-6982

Specialties & licenses 1

Addresses

Tax ID family

Southwest Michigan Behavioral Health2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Southwest Michigan Behavioral Health

  • Community/Behavioral Health Agency
  • Portage, MI
  • NPI 1871923268
  NPD tax ID

Practitioners 2

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

• Amy Cresentia Mrazek, LMSW

  • Clinical Social Worker
  • Portage, MI
  • NPI 1508322983
  NPD (past)
• Obioha Collins Unaeze, MA, LPC, NCC

  • Professional Counselor
  • Portage, MI
  • NPI 1154758787
  NPD (past)

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

{
    "created_epoch": "1491177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491177600000",
    "number": "1063944585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5250 LOVERS LN STE 200",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490021579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5250 LOVERS LN STE 200",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490021579",
            "telephone_number": "800-676-0423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST MICHIGAN BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-03",
        "last_updated": "2017-04-03",
        "status": "A",
        "authorized_official_last_name": "WICKHAM",
        "authorized_official_first_name": "ANNE",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "269-488-6982",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Michigan Psychiatric Services LLC
• Lindsay Page South, MA
• Southern Michigan Pain Consultants PC
• Southerncare, Inc.
• Southwest Footcare Specialists, P.C.
• Southwest Michigan Behavioral Health
• Southwest Michigan Plastic and Hand Surgery, PC
• Southwest Transportation Group
• Nicole Spagnuolo
• Karen A Spaude

• Community/Behavioral Health Agency in Portage, MI
• Providers in Portage, MI by specialty
• Community/Behavioral Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2017; 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.