Berrien Mental Health Authority

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

BERRIEN MENTAL HEALTH AUTHORITY

Doing business as

Riverwood Center

Practice address

115 S Saint Joseph Ave
Niles, MI 49120-2848

Phone

(269) 684-4270

Fax

(269) 684-4070

NPI assigned

Jun 23, 2008

Last updated

Jun 23, 2008By 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

Allen R Edlefson

Title

Ceo

Phone

(269) 925-0585

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Riverwood Center Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Berrien Mental Health Authority

  dba Riverwood Center

  • Psychiatry Physician
  • Benton Harbor, MI
  • NPI 1033280763

  O20050124000376

  Same enrollment
• Berrien Mental Health Authority

  dba NorthStar Center

  • Psychiatry Physician
  • Saint Joseph, MI
  • NPI 1508801465

  O20050124000376

  Same enrollment

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

{
    "created_epoch": "1214179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1235390246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1485 M 139",
            "city": "BENTON HARBOR",
            "state": "MI",
            "postal_code": "490225711",
            "telephone_number": "269-925-0585",
            "fax_number": "269-934-1610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 S SAINT JOSEPH AVE",
            "city": "NILES",
            "state": "MI",
            "postal_code": "491202848",
            "telephone_number": "269-684-4270",
            "fax_number": "269-684-4070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERRIEN MENTAL HEALTH AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-23",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "EDLEFSON",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "269-925-0585"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "750910730",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riverwood Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Angela May Beers, PSYD
• Bridget Doyle Benoit
• Steven Joel Berman, LPC,LPCC,NCC,CAADC
• Leilani Bermeo, PT, DPT
• Berrien Family Chiropractic, Inc.
• Better Together Birth Services
• Sarah Elizabeth Biddle
• Renee Denise Binns, RDH
• Blessed Home Afc Services, LLC
• Sandra Sloane Blix, CRNA

• Community/Behavioral Health Agency in Niles, MI
• Providers in Niles, 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 23, 2008; 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.