Patricia a Wood Employee Assistance Services LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

6801017827 Issued in MI

Legal business name

PATRICIA A WOOD EMPLOYEE ASSISTANCE SERVICES LLC

Practice address

1 Misco Dr
Whitehall, MI 49461-1755

Phone

(231) 894-7549

NPI assigned

May 31, 2009

Last updated

May 31, 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

Patricia A Wood, LCSWNPI 1689868663

Title

Owner

Phone

(231) 894-7549

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

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.

• Patricia A Wood, LMSW

  • Clinical Social Worker
  • Whitehall, MI
  • NPI 1689868663
  Medicare reassignment NPD Authorized official
• Melissa Michelle Reid, LMSW, ACSW

  • Clinical Social Worker
  • Whitehall, MI
  • NPI 1598854887
  NPD (past)

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

{
    "created_epoch": "1243728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243728000000",
    "number": "1083840466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6136 DUCK LAKE RD",
            "city": "WHITEHALL",
            "state": "MI",
            "postal_code": "494619679",
            "telephone_number": "231-730-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MISCO DR",
            "city": "WHITEHALL",
            "state": "MI",
            "postal_code": "494611755",
            "telephone_number": "231-894-7549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICIA A WOOD EMPLOYEE ASSISTANCE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-31",
        "last_updated": "2009-05-31",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "231-894-7549",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "MI",
            "license": "6801017827",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1689868663",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donald O Nordlund, RPH
• Nrmi, LLC (d/b/a NeuroRestorative Michigan)
• Optalis Whitehall Opco, LLC (Optalis Health & Rehabilitation of Whitehall)
• Jacob Ottati
• Mark Robert Parrish, BS, CCM, CBIS
• James Martin Petersen, BASW, CCM, CBIST
• Petsch Chiropractic Center PC
• Philip F. Petsch, D.C.
• Rhonda Voss Petsch, D.C.
• Christie Phillips

• Adult Mental Health Clinic/Center in Whitehall, MI
• Providers in Whitehall, MI by specialty
• Adult Mental Health Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2009; 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.