Individual provider Active NPI

Roosevelt Bell, MSP

  • Other Technician
  • Flint, MI
National Provider Identifier
1205358397
Registry record updated Oct 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Other TechnicianTaxonomy code 247200000X
Practice address
2401 S Linden Rd
Flint, MI 48532-9800
Phone
(800) 395-3223
Fax
(248) 620-6405
NPI assigned
Jul 11, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Other Technician 247200000X MI Primary
Mental Health Counselor 101YM0800X
Cognitive & Behavioral Psychologist 103TB0200X

Addresses

Primary practice location

2401 S Linden Rd
Flint, MI 48532-9800

Mailing address

6549 Town Center Dr Ste a
Clarkston, MI 48346-4824
Phone (800) 395-3223

Other practice location 1

3919 Adirolf Rd
Jacksonville, FL 32207-4723
Phone (904) 302-4598

Other practice location 2

3919 Adirolf Rd
Jacksonville, FL 32207-4723
Phone (904) 302-4598

Other practice location 3

1725 Oakhurst Ave
Jacksonville, FL 32208-3200
Phone (904) 765-0665

Other practice location 4

3919 Adirolf Rd
Jacksonville, FL 32207-4723
Phone (904) 302-4598

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Right Path Behavioral Health Services, LLC. Past Accepting new patients
Right Path Behavioral Health Services LLC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1499731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697500800000",
    "number": "1205358397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6549 TOWN CENTER DR STE A",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483464824",
            "telephone_number": "800-395-3223",
            "fax_number": "248-620-6405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 S LINDEN RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485329800",
            "telephone_number": "800-395-3223",
            "fax_number": "248-620-6405"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3919 Adirolf Rd",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322074723",
            "country_code": "US",
            "telephone_number": "904-302-4598",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3919 Adirolf Rd",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322074723",
            "country_code": "US",
            "telephone_number": "904-302-4598",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1725 Oakhurst Ave",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322083200",
            "country_code": "US",
            "telephone_number": "904-765-0665",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3919 Adirolf Rd",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322074723",
            "country_code": "US",
            "telephone_number": "904-302-4598",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BELL",
        "first_name": "ROOSEVELT",
        "credential": "MSP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-11",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": "MI",
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; 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.