Eaton Behavioral Health

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

6401009338 Issued in MI

Legal business name

EATON BEHAVIORAL HEALTH

Practice address

1033 Healthcare Dr
Charlotte, MI 48813-1058

Phone

(517) 543-2580

Fax

(517) 543-8191

NPI assigned

Jun 7, 2012

Organization subpart

Yes

Parent organization

BARRY-EATON HEALTH DEPARTMENTAs reported in NPPES

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

Authorized official

Name

Mr. Steve Tackett

Title

Director

Phone

(517) 541-2633

Specialties & licenses 1

Addresses

Part of

Eaton Behavioral Health

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

{
    "created_epoch": "1339027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339027200000",
    "number": "1164783965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1033 HEALTHCARE DR",
            "city": "CHARLOTTE",
            "state": "MI",
            "postal_code": "488131058",
            "telephone_number": "517-543-2580",
            "fax_number": "517-543-8191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1033 HEALTHCARE DR",
            "city": "CHARLOTTE",
            "state": "MI",
            "postal_code": "488131058",
            "telephone_number": "517-543-2580",
            "fax_number": "517-543-8191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EATON BEHAVIORAL HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BARRY-EATON HEALTH DEPARTMENT",
        "enumeration_date": "2012-06-07",
        "last_updated": "2012-06-07",
        "status": "A",
        "authorized_official_last_name": "TACKETT",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "517-541-2633",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "6401009338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynn Deweese
• Adam M Dewitt, DC
• Casey Dixon
• Cheryl Duffey
• Jeffery Duncan, DPT
• Eaton County Health and Rehabilitation Services
• Eaton County Health and Rehabilitation Services
• Eaton Intermediate School District
• Jessica Edel, PH.D., CBD, PCD
• Samuel Brook Ellis

• Community/Behavioral Health Agency in Charlotte, MI
• Providers in Charlotte, 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 Jun 7, 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.