Individual provider Active NPI

Charles H Lapo II, M.D.

  • Psychiatry Physician
  • Petoskey, MI
National Provider Identifier
1285674028
Registry record updated Apr 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
4301089286 Issued in MI
Practice address
2206 Mitchell Park Dr
Ste 10
Petoskey, MI 49770-8674
Phone
(231) 487-2415
Fax
(231) 487-6569
NPI assigned
Jun 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 44634 CO
Psychiatry Physician 2084P0800X 4301089286 MI Primary

Addresses

Primary practice location

2206 Mitchell Park Dr
Ste 10
Petoskey, MI 49770-8674

Mailing address

200 W Lake St
Ste 2
Petoskey, MI 49770-2367
Phone (231) 348-2074

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070406000148 MI Practitioner - Psychiatry 8820001142 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Albany Medical College of Union University, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
County of MacombGroup PAC ID 4880581404, 81 clinicians

Practice addresses (Care Compare)

25401 Harper Ave
Saint Clair Shores, MI 48081-2240
Phone (586) 466-6912

6555 15 Mile Rd
Sterling Heights, MI 48312-4511
Phone (586) 783-8113

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
44634COMDPsychiatry Physician
4301089286MIMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Macomb CurrentSince Oct 30, 2021 Accepting new patients
Psychnorth CurrentSince Jan 1, 2016 Accepting new patients
County of Macomb CurrentSince Oct 30, 2021 Accepting new patients
Little Traverse Psychiatric Associates, PC Psychiatry Past Accepting new patients
North Country Community Mental Health PastSince May 2, 2016 Accepting new patients

Locations

19800 Hall Rd
Clinton Twp, MI 48038
Phone (586) 854-4804

43740 N Groesbeck Hwy
Clinton Twp, MI 48036
Phone (586) 469-7229

5340 Holiday Ter
Ste 9
Kalamazoo, MI 49009
Phone (269) 381-4446

2202 Mitchell Park Dr
Ste 5
Petoskey, MI 49770
Phone (231) 348-5018

25401 Harper Ave
St Clr Shores, MI 48081
Phone (586) 466-6912

Organizations & group practices 5

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": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302480000000",
    "number": "1285674028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W LAKE ST",
            "address_2": "STE 2",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497702367",
            "telephone_number": "231-348-2074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2206 MITCHELL PARK DR",
            "address_2": "STE 10",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497708674",
            "telephone_number": "231-487-2415",
            "fax_number": "231-487-6569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAPO",
        "first_name": "CHARLES",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2011-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CO",
            "license": "44634",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301089286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Petoskey, MI

Sources for this page

Verify at the official NPI Registry.