Community Mental Health Partnership of Southeast Michigan

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

COMMUNITY MENTAL HEALTH PARTNERSHIP OF SOUTHEAST MICHIGAN

Practice address

3005 Boardwalk St Ste 200
Ann Arbor, MI 48108-5218

Phone

(734) 344-6079

Fax

(734) 222-3844

NPI assigned

Dec 10, 2013

Organization subpart

No

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

Authorized official

Name

James Robert Colaianne

Title

Ceo

Phone

(734) 344-6079

Specialties & licenses 1

Addresses

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Marie Landstrom

  • Case Manager/Care Coordinator
  • Adrian, MI
  • NPI 1770231821
  NPD
• Patrick Dever

  • Community Health Worker
  • Ann Arbor, MI
  • NPI 1720435027
  NPD (past)
• Camila Manrique

  • Mental Health Counselor
  • Ann Arbor, MI
  • NPI 1629726575
  NPD (past)
• Lynda Wood

  • Social Worker
  • Ann Arbor, MI
  • NPI 1689056160
  NPD (past)

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

{
    "created_epoch": "1386633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597795200000",
    "number": "1346671880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3005 BOARDWALK ST STE 200",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481085218",
            "telephone_number": "734-344-6079",
            "fax_number": "734-222-3844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3005 BOARDWALK ST STE 200",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481085218",
            "telephone_number": "734-344-6079",
            "fax_number": "734-222-3844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY MENTAL HEALTH PARTNERSHIP OF SOUTHEAST MICHIGAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-10",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A",
        "authorized_official_last_name": "COLAIANNE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "734-344-6079"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Ann Arbor, MI
• Providers in Ann Arbor, 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 Aug 19, 2020; 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.