Active NPI
John Edward Scalise, M.A.
- Clinical Social Worker
- Mount Pleasant, MI
National Provider Identifier
1346320454
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801062435
- Practice address
- 301 S Crapo St
Suite 200
Mount Pleasant, MI 48858-2941 - Phone
- (989) 772-5938
- NPI assigned
- Oct 16, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 6401002793 | MI | |
| Clinical Psychologist | 103TC0700X | 6301005924 | MI | |
| Clinical Social Worker | 1041C0700X | 6801062435 | MI | Primary |
Addresses
Primary practice location
301 S Crapo St
Suite 200
Mount Pleasant, MI 48858-2941
Mailing address
304 E High St
Mount Pleasant, MI 48858-3552
Phone (989) 772-3948
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1205 E Wackerly St
Midland, MI 48642-7035
Phone (989) 832-9161
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401002793 | MI | MD | Mental Health Counselor |
| 6301005924 | MI | MD | Clinical Psychologist |
| 6801062435 | MI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavioral Medicine Associates of Mid Michigan PC | Clinical | Current | Accepting new patients |
| Community Mental Health for Central Michigan | Clinical | Past | Accepting new patients |
Locations
1205 E Wackerly St
Midland, MI 48642
Phone (989) 832-4000
Organizations & group practices 2
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.
-
- Clinical Psychologist
- Midland, MI
- NPI 1740370089
-
- Psychiatry Physician
- Mt Pleasant, MI
- NPI 1609412840
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305158400000",
"number": "1346320454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "304 E HIGH ST",
"city": "MOUNT PLEASANT",
"state": "MI",
"postal_code": "488583552",
"telephone_number": "989-772-3948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 S CRAPO ST",
"address_2": "SUITE 200",
"city": "MOUNT PLEASANT",
"state": "MI",
"postal_code": "488582941",
"telephone_number": "989-772-5938"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCALISE",
"first_name": "JOHN",
"middle_name": "EDWARD",
"name_prefix": "Mr.",
"credential": "M.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-16",
"last_updated": "2011-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MI",
"license": "6401002793",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MI",
"license": "6301005924",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801062435",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Pleasant, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.