Mantych Psychotherapy, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MANTYCH PSYCHOTHERAPY, LLC

Doing business as

Anne Tyson, LMSW LLC

Practice address

1810 Ruddiman Dr Ste F
North Muskegon, MI 49445-3172

Phone

(616) 843-0623

NPI assigned

Sep 14, 2018

Last updated

Mar 4, 2026By 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

Anne TysonNPI 1447472915

Title

Owner/Clinician

Phone

(616) 843-0623

Specialties & licenses 1

Addresses

Other names 1

• Anne Tyson, LMSW LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

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.

• Anne Marie Tyson, LMSW

  • Clinical Social Worker
  • Scottville, MI
  • NPI 1447472915
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1536883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772582400000",
    "number": "1144703182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1154 CADILLAC DR",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494451917",
            "telephone_number": "616-843-0623",
            "fax_number": "616-600-0259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 RUDDIMAN DR STE F",
            "city": "NORTH MUSKEGON",
            "state": "MI",
            "postal_code": "494453172",
            "telephone_number": "616-843-0623"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1154 Cadillac Dr",
            "address_purpose": "LOCATION",
            "city": "Muskegon",
            "state": "MI",
            "postal_code": "494451917",
            "country_code": "US",
            "telephone_number": "616-843-0623",
            "fax_number": "616-600-0259",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MANTYCH PSYCHOTHERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-14",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A",
        "authorized_official_last_name": "TYSON",
        "authorized_official_first_name": "ANNE",
        "authorized_official_title_or_position": "OWNER/CLINICIAN",
        "authorized_official_telephone_number": "616-843-0623"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anne Tyson, LMSW LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Northshore Chiropractic Center,PC

• Clinical Social Worker in North Muskegon, MI
• Providers in North Muskegon, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2026; 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.