Macomb County Community Mental Health

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

6803086323 Issued in MI

Legal business name

MACOMB COUNTY COMMUNITY MENTAL HEALTH

Practice address

43740 N Groesbeck Hwy
Clinton Township, MI 48036-1139

Phone

(586) 469-7629

Fax

(586) 469-7662

NPI assigned

Sep 27, 2012

Organization subpart

Yes

Parent organization

MACOMB COUNTY COMMUNITY MENTAL HEALTHAs reported in NPPES

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

Authorized official

Name

Kelly Lynn Malicki, BS, SST

Title

Case Manager II

Phone

(586) 466-6218

Specialties & licenses 1

Addresses

Other names 1

• First Resources & Treatment North Other name

Part of

Macomb County Mental Health

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

{
    "created_epoch": "1348704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348704000000",
    "number": "1134470495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43740 N GROESBECK HWY",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480361139",
            "telephone_number": "586-469-7629",
            "fax_number": "586-469-7662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43740 N GROESBECK HWY",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480361139",
            "telephone_number": "586-469-7629",
            "fax_number": "586-469-7662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACOMB COUNTY COMMUNITY MENTAL HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MACOMB COUNTY COMMUNITY MENTAL HEALTH",
        "enumeration_date": "2012-09-27",
        "last_updated": "2012-09-27",
        "status": "A",
        "authorized_official_last_name": "MALICKI",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CASE MANAGER II",
        "authorized_official_telephone_number": "586-466-6218",
        "authorized_official_credential": "BS, SST"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "MI",
            "license": "6803086323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "First Resources & Treatment North",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jacqueline Irene Mackenzie, LMSW
• Tricia Mackool
• Macomb Anesthesia, PC
• Macomb Clinton Center for Wound Care and Hyperbaric Medicine. PLLC
• Macomb County Community Mental Health
• Macomb County Community Mental Health
• Macomb County Community Mental Health
• Macomb County Community Mental Health
• Macomb County Community Mental Health
• Macomb County Community Mental Health

• Case Management Agency in Clinton Township, MI
• Providers in Clinton Township, MI by specialty
• Case Management Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2012; 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.