Community Mental Health Services of St Joseph County

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

COMMUNITY MENTAL HEALTH SERVICES OF ST JOSEPH COUNTY

Practice address

677 E Main St Ste a
Centreville, MI 49032-8525

Phone

(269) 467-1000

NPI assigned

Jul 3, 2025

Organization subpart

Yes

Parent organization

COMMUNITY MENTAL HEALTH SERVICES OF ST JOSEPH COUNTYAs reported in NPPES

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

Authorized official

Name

Cameron Edward Brewster Bullock

Title

Chief Executive Officer

Phone

(269) 467-1001

Specialties & licenses 1

Addresses

Other names 1

• Pivotal Doing business as

Tax ID family

Comm MNT HLTH Ser of St2 organizations share this tax ID, including this one

Part of

Comm MNT HLTH Ser of St

Other organizations with this tax ID 1

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

• Community Mental Health Services of St Joseph County

  • Community/Behavioral Health Agency
  • Centreville, MI
  • NPI 1366438483
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Community Mental Health Services of St Joseph County

  • Community/Behavioral Health Agency
  • Centreville, MI
  • NPI 1366438483
  NPPES parent name

Practitioners 1

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

• Norman Olken, MD

  • Psychiatry Physician
  • Three Rivers, MI
  • NPI 1770579807
  NPD (past)

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

{
    "created_epoch": "1751500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751500800000",
    "number": "1104715036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "677 E MAIN ST STE A",
            "city": "CENTREVILLE",
            "state": "MI",
            "postal_code": "490328525",
            "telephone_number": "269-467-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "677 E MAIN ST STE A",
            "city": "CENTREVILLE",
            "state": "MI",
            "postal_code": "490328525",
            "telephone_number": "269-467-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1555 E Chicago Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Sturgis",
            "state": "MI",
            "postal_code": "490911993",
            "country_code": "US",
            "telephone_number": "269-467-1904",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1020 Millard St",
            "address_purpose": "LOCATION",
            "city": "Three Rivers",
            "state": "MI",
            "postal_code": "490939590",
            "country_code": "US",
            "telephone_number": "269-467-1903",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COMMUNITY MENTAL HEALTH SERVICES OF ST JOSEPH COUNTY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMUNITY MENTAL HEALTH SERVICES OF ST JOSEPH COUNTY",
        "enumeration_date": "2025-07-03",
        "last_updated": "2025-07-03",
        "certification_date": "2025-07-03",
        "status": "A",
        "authorized_official_last_name": "BULLOCK",
        "authorized_official_first_name": "CAMERON",
        "authorized_official_middle_name": "EDWARD BREWSTER",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "269-467-1001"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pivotal",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marie Dysangco Cherry, CPSS
• Erica Cittadino
• Colleen Cochrane, LLMSW
• Tracey Cole
• Sherry Combs, CPSS
• Community Mental Health Services of St Joseph County
• Mary E Corfman, MA, LPC
• Covered Bridge Healthcare of St. Joseph County Inc
• Jarrett Steven Cupp, LPC
• Heather Nicole Decastro, LLPC

• Community/Behavioral Health Agency in Centreville, MI
• Providers in Centreville, 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 Jul 3, 2025; 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.