NPIMap

Organization Active NPI

Mareck Family and Geriatric Services, P.C.

Doing business as Mareck and Associates

  • Adult Mental Health Clinic/Center
  • Okemos, MI
National Provider Identifier
1073615092
Registry record updated Feb 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
MARECK FAMILY AND GERIATRIC SERVICES, P.C.
Doing business as
Mareck and Associates
Practice address
3493 Woods Edge Dr
Suite 103
Okemos, MI 48864-6030
Phone
(517) 886-3707
Fax
(517) 349-1973
NPI assigned
Sep 1, 2006
Last updated
Feb 24, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2011

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

Authorized official

Name
Mr. Gary William Pollitz, LMSWNPI 1447366398
Title
Ceo/President
Phone
(517) 886-3707

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

3493 Woods Edge Dr
Suite 103
Okemos, MI 48864-6030

Mailing address

3493 Woods Edge Dr
Suite 103
Okemos, MI 48864-6030
Phone (517) 886-3707

Other identifiers 1

IdentifierTypeStateIssuer
800C313060OtherMIBLUE CROSS BLUE SHIELD

Other names 1

  • Mareck and Associates Doing business as

National Provider Directory

National Provider Directory

Locations

3401 E Saginaw St
Lansing, MI 48912
Phone (517) 333-3737

3401 E Saginaw St
Ste 214
Lansing, MI 48912
Phone (517) 886-3707

601 N Waverly Rd
Lansing, MI 48917
Phone (517) 323-8410

1745 Hamilton Rd
Ste 300
Okemos, MI 48864
Phone (517) 886-3707

3493 Woods Edge
Ste 103
Okemos, MI 48864
Phone (517) 333-3737

Practitioners & affiliated clinicians

Practitioners 26

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.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298505600000",
    "number": "1073615092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3493 WOODS EDGE DR",
            "address_2": "SUITE 103",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488646030",
            "telephone_number": "517-886-3707",
            "fax_number": "517-349-1973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3493 WOODS EDGE DR",
            "address_2": "SUITE 103",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488646030",
            "telephone_number": "517-886-3707",
            "fax_number": "517-349-1973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARECK FAMILY AND GERIATRIC SERVICES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-01",
        "last_updated": "2011-02-24",
        "status": "A",
        "authorized_official_last_name": "POLLITZ",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "517-886-3707",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "800C313060",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mareck and Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Okemos, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2011; 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.