NPIMap

Organization Active NPI

Saginaw Valley Centers

  • Addiction (Substance Use Disorder) Counselor
  • Saginaw, MI
National Provider Identifier
1225304017
Registry record updated Mar 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
730038 Issued in MI
Legal business name
SAGINAW VALLEY CENTERS
Practice address
3190 Hallmark CT
Saginaw, MI 48603-2190
Phone
(989) 790-3366
Fax
(989) 790-9151
NPI assigned
Mar 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2012

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

Authorized official

Name
Mrs. Patricia K Watters, CEO CCS-M CADC
Title
Owner
Phone
(989) 790-3366

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 730038 MI Primary

Addresses

Primary practice location

3190 Hallmark CT
Saginaw, MI 48603-2190

Mailing address

3190 Hallmark CT
Saginaw, MI 48603-2190
Phone (198) 979-0336

Other identifiers 1

IdentifierTypeStateIssuer
730038MedicaidMI

Other names 1

  • DOT Caring Centers, Inc Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Saginaw Valley Centers Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

3190 Hallmark Ct
Saginaw, MI 48603

NPI Registry JSON

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

{
    "created_epoch": "1332806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332806400000",
    "number": "1225304017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3190 HALLMARK CT",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486032190",
            "telephone_number": "198-979-0336",
            "fax_number": "198-979-0915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3190 HALLMARK CT",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486032190",
            "telephone_number": "989-790-3366",
            "fax_number": "989-790-9151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGINAW VALLEY CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-27",
        "last_updated": "2012-03-27",
        "status": "A",
        "authorized_official_last_name": "WATTERS",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "19897903366",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CEO  CCS-M  CADC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "730038",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "730038",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DOT Caring Centers, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saginaw, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.