Active NPI
S P G B Services
- Addiction (Substance Use Disorder) Counselor
- Kalamazoo, MI
National Provider Identifier
1144308347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 390139
- Legal business name
- S P G B SERVICES
- Practice address
- 118 E Paterson St
Safehouse
Kalamazoo, MI 49007-2531 - Phone
- (269) 342-7348
- Fax
- (269) 342-4699
- NPI assigned
- Nov 2, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Robert E. Bonds Jr., LBSW, CAC-11
- Title
- President/Ceo
- Phone
- (269) 342-7348
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 390139 | MI | Primary |
Addresses
Primary practice location
118 E Paterson St
Safehouse
Kalamazoo, MI 49007-2531
Mailing address
32 W Van Buren St
Battle Creek, MI 49017-3046
Phone (269) 964-3830
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1705289 | Medicaid | MI |
Other names 1
- SPGB Services
National Provider Directory
National Provider Directory- Tax ID family
- S P G B Services
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Addiction (Substance Use Disorder) Counselor
- Albion, MI
- NPI 1053453373
-
- Addiction (Substance Use Disorder) Counselor
- Battle Creek, MI
- NPI 1104904382
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1218585600000",
"number": "1144308347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32 W VAN BUREN ST",
"city": "BATTLE CREEK",
"state": "MI",
"postal_code": "490173046",
"telephone_number": "269-964-3830",
"fax_number": "269-964-3833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "118 E PATERSON ST",
"address_2": "SAFEHOUSE",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490072531",
"telephone_number": "269-342-7348",
"fax_number": "269-342-4699"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "S P G B SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-02",
"last_updated": "2008-08-13",
"status": "A",
"authorized_official_last_name": "BONDS",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "E.",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "269-342-7348",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "LBSW, CAC-11"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MI",
"license": "390139",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1705289",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "SPGB Services",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Kalamazoo, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.