Grand Traverse Industries, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

GRAND TRAVERSE INDUSTRIES, INC.

Practice address

2170 Traversefield Dr
Traverse City, MI 49686-9278

Phone

(231) 922-4886

Fax

(231) 922-4894

NPI assigned

Sep 30, 2024

Last updated

Sep 30, 2024By 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

Mrs. Cindy Evans

Title

Executive Director

Phone

(231) 922-4886

Specialties & licenses 1

Addresses

Other names 1

• GTP Industries, Inc. Former legal business name

Locations

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

{
    "created_epoch": "1727654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727654400000",
    "number": "1316765365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2170 TRAVERSEFIELD DR",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496869278",
            "telephone_number": "231-922-4886",
            "fax_number": "231-922-4894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2170 TRAVERSEFIELD DR",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496869278",
            "telephone_number": "231-922-4886",
            "fax_number": "231-922-4894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND TRAVERSE INDUSTRIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-30",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "231-922-4886",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GTP Industries, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Grand Traverse County Health Department
• Grand Traverse Dental Care, PC
• Grand Traverse Family Chiropractic PLLC (Grand Traverse Family Chiropractic)
• Grand Traverse Foot & Ankle Center P.C.
• Grand Traverse Heart Institute (Grand Traverse Heart Associates)
• Grand Traverse Internists, PC
• Grand Traverse Nutrition, LLC
• Grand Traverse Ophthalmology Clinic PC
• Grand Traverse Oral Surgery, P.C.
• Grand Traverse Orthopedics PLLC

• Community/Behavioral Health Agency in Traverse City, MI
• Providers in Traverse City, 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 Sep 30, 2024; 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.