Organization Active NPI

Lindsey Mortenson, MD, PLLC

  • Adult Mental Health Clinic/Center
  • Ann Arbor, MI
National Provider Identifier
1346775806
Registry record updated Apr 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
4301095455 Issued in MI
Legal business name
LINDSEY MORTENSON, MD, PLLC
Practice address
220 N 5TH Ave
Ann Arbor, MI 48104-1195
Phone
(734) 436-1422
Fax
(734) 531-1990
NPI assigned
Apr 21, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2017

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

Authorized official

Name
Dr. Lindsey Mortenson, M.D.
Title
Psychiatrist
Phone
(734) 436-1422

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 4301095455 MI Primary

Addresses

Primary practice location

220 N 5TH Ave
Ann Arbor, MI 48104-1195

Mailing address

1601 Brooklyn Ave
Ann Arbor, MI 48104-4420
Phone (734) 436-1422

Other identifiers 1

IdentifierTypeStateIssuer
1225364417OtherMITYPE 1 NPI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1492732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492732800000",
    "number": "1346775806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 BROOKLYN AVE",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481044420",
            "telephone_number": "734-436-1422",
            "fax_number": "734-531-1990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 N 5TH AVE",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481041195",
            "telephone_number": "734-436-1422",
            "fax_number": "734-531-1990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDSEY MORTENSON, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-21",
        "last_updated": "2017-04-21",
        "status": "A",
        "authorized_official_last_name": "MORTENSON",
        "authorized_official_first_name": "LINDSEY",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "734-436-1422",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "MI",
            "license": "4301095455",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 1 NPI",
            "identifier": "1225364417",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2017; 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.