Robert P. Fosnaugh Psychiatric & Rehabilitation Center

Primary specialty

Rehabilitation HospitalTaxonomy code 283X00000X

Legal business name

ROBERT P. FOSNAUGH PSYCHIATRIC & REHABILITATION CENTER

Doing business as

Dr. Robert P. Fosnaugh Memorial Rehabilitation Center

Practice address

26755 Ballard St
Harrison TWP, MI 48045-2419

Phone

(248) 360-3770

NPI assigned

Feb 18, 2014

Organization subpart

No

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

Authorized official

Name

Nancy J Mendicki

Title

Cfo

Phone

(248) 360-3770

Specialties & licenses 4

Addresses

Other names 1

• Dr. Robert P. Fosnaugh Memorial Rehabilitation Center Doing business as

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

{
    "created_epoch": "1392681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403222400000",
    "number": "1255755815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 693",
            "city": "WALLED LAKE",
            "state": "MI",
            "postal_code": "483900693",
            "telephone_number": "248-360-3770",
            "fax_number": "248-360-3773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26755 BALLARD ST",
            "city": "HARRISON TWP",
            "state": "MI",
            "postal_code": "480452419",
            "telephone_number": "248-360-3770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT P. FOSNAUGH PSYCHIATRIC & REHABILITATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-18",
        "last_updated": "2014-06-20",
        "status": "A",
        "authorized_official_last_name": "MENDICKI",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "248-360-3770"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Robert P. Fosnaugh Memorial Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kim Oliver, RN BSN
• Lisa Graves Porter
• Pretty Prestigious Therapy LLC
• Rochelle Reeves
• Tanazia Reynolds
• Erica Rosales-Vallejo
• Melissa Rutherford
• Joanna Catherine Scheunemann, FNP-BC
• Michelle Sophia Schmatz, DPT
• Pamela Jean Semaan

• Rehabilitation Hospital in Harrison TWP, MI
• Providers in Harrison TWP, MI by specialty
• Rehabilitation Hospital in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2014; 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.