Organization Active NPI

Cynthia J Papendick Inc

  • Adult Psychiatric/Mental Health Clinical Nurse Specialist
  • Union Pier, MI
National Provider Identifier
1346790920
Registry record updated Oct 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X
License
4704169270 Issued in MI
Legal business name
CYNTHIA J PAPENDICK INC
Practice address
16170 Red Arrow Hwy
Suite C-8
Union Pier, MI 49129-9473
Phone
(269) 470-0832
Fax
(269) 469-1202
NPI assigned
Oct 7, 2016
Last updated
Oct 7, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2016

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

Authorized official

Name
Cynthia J Papendick, NPNPI 1366423899
Title
Owner/Manager
Phone
(269) 470-0832

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Clinical Nurse Specialist 364SP0809X 4704169270 MI Primary

Addresses

Primary practice location

16170 Red Arrow Hwy
Suite C-8
Union Pier, MI 49129-9473

Mailing address

16170 Red Arrow Hwy
Suite C-8
Union Pier, MI 49129-9473
Phone (269) 470-0832

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170206000318 MI Part B Supplier - Clinic/Group Practice 2769765346 Receives reassigned benefits from 1 practitioner
Practice locations: New Buffalo, MI

National Provider Directory

National Provider Directory

Locations

18605 US Highway 12
New Buffalo, MI 49117
Phone (269) 469-1266

18605 US Highway 12
Ste 10
New Buffalo, MI 49117
Phone (269) 469-1266

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1475798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475798400000",
    "number": "1346790920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16170 RED ARROW HWY",
            "address_2": "SUITE C-8",
            "city": "UNION PIER",
            "state": "MI",
            "postal_code": "491299473",
            "telephone_number": "269-470-0832",
            "fax_number": "269-469-1202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16170 RED ARROW HWY",
            "address_2": "SUITE C-8",
            "city": "UNION PIER",
            "state": "MI",
            "postal_code": "491299473",
            "telephone_number": "269-470-0832",
            "fax_number": "269-469-1202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYNTHIA J PAPENDICK INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-07",
        "last_updated": "2016-10-07",
        "status": "A",
        "authorized_official_last_name": "PAPENDICK",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "269-470-0832",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "MI",
            "license": "4704169270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union Pier, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.