Newaygo County Mental Health Board

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

NEWAYGO COUNTY MENTAL HEALTH BOARD

Practice address

1049 E Newell St
White Cloud, MI 49349-8795

Phone

(231) 689-7330

Fax

(231) 689-7345

NPI assigned

Aug 20, 2012

Last updated

Aug 20, 2012By 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

Greg Snyder, A.C.S.W.

Title

Executive Director

Phone

(231) 689-7330

Specialties & licenses 1

Addresses

Other identifiers 13

Tax ID family

Newaygo County Community Mental Health2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Newaygo County Community Mental Health

  • Community/Behavioral Health Agency
  • White Cloud, MI
  • NPI 1740629450
  NPD tax ID

Locations

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

{
    "created_epoch": "1345420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345420800000",
    "number": "1184972309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1049 E NEWELL ST",
            "address_2": "P O BOX 867",
            "city": "WHITE CLOUD",
            "state": "MI",
            "postal_code": "493498795",
            "telephone_number": "231-689-7330",
            "fax_number": "231-689-7345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1049 E NEWELL ST",
            "city": "WHITE CLOUD",
            "state": "MI",
            "postal_code": "493498795",
            "telephone_number": "231-689-7330",
            "fax_number": "231-689-7345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWAYGO COUNTY MENTAL HEALTH BOARD",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-20",
        "last_updated": "2012-08-20",
        "status": "A",
        "authorized_official_last_name": "SNYDER",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "231-689-7330",
        "authorized_official_credential": "A.C.S.W."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI - PHARMACY",
            "identifier": "1386969996",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI - JO MEYER LMSW",
            "identifier": "153825543",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4892416",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI - JILLAINE RUPPEL",
            "identifier": "1780816520",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "700F260140",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI - AGENCY",
            "identifier": "1376512236",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JO MEYER",
            "identifier": "P57070009",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1708066",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI - DR. ALT",
            "identifier": "1417139692",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4359826",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "P57070002",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "P57070001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JILLAINE RUPPEL",
            "identifier": "P57070010",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Morgan
• Kevin Vance Murphy, DDS
• Virginia Rose Near, RN
• Hillary Lynn Nelson, RN
• Newaygo County Community Mental Health
• Newaygo County Mental Health Board (Newaygo County Mental Health)
• Newaygo County Mental Health Board (Newaygo County Mental Health)
• Northern Home Care Inc
• Carol Norton, RN
• Amanda Marie Orrell

• Clinical Social Worker in White Cloud, MI
• Providers in White Cloud, 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 Aug 20, 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.