Northern Michigan Psychiatric Services

Primary specialty

Social WorkerTaxonomy code 104100000X

License

L2401958 Issued in MI

Legal business name

NORTHERN MICHIGAN PSYCHIATRIC SERVICES

Practice address

3287 Racquet Club Dr Unit a
Traverse City, MI 49684-4702

Phone

(231) 935-0355

NPI assigned

Oct 20, 2014

Organization subpart

No

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

Authorized official

Name

Sander Weckstein, MD

Title

Physician

Phone

(231) 935-0355

Specialties & licenses 1

Addresses

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/23955/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1413763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413763200000",
    "number": "1285038349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3287 RACQUET CLUB DR UNIT A",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496844702",
            "telephone_number": "231-935-0355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3287 RACQUET CLUB DR UNIT A",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496844702",
            "telephone_number": "231-935-0355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN MICHIGAN PSYCHIATRIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-20",
        "last_updated": "2014-10-20",
        "status": "A",
        "authorized_official_last_name": "WECKSTEIN",
        "authorized_official_first_name": "SANDER",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "231-935-0355",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": "MI",
            "license": "L2401958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northern Michigan Endoscopic Services PLLC
• Northern Michigan Gastroenterology PLC
• Northern Michigan Medicine and Pediatrics, PLLC
• Northern Michigan Pediatric Dentistry
• Northern Michigan Plastic Surgery PC
• Northern Michigan Psychiatric Services PC
• Northern Michigan Vascular Center P.C.
• Northern Michigan Vascular Lab PC
• Northern Roots Medical Associates P.L.L.C.
• Northern Vision Eye Care, PC

• Social Worker in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Social Worker in Michigan

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