North Country Community Mental Health

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

NORTH COUNTRY COMMUNITY MENTAL HEALTH

Practice address

1 Macdonald Dr
Suite a
Petoskey, MI 49770-4406

Phone

(231) 347-7890

Fax

(231) 347-1241

NPI assigned

May 14, 2010

Organization subpart

No

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

Authorized official

Name

Ms. Alexis Kaczynski

Title

Executive Director

Phone

(231) 347-7890

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

North Country Community Mental Health2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• North Country Community Mental Health

  • Community/Behavioral Health Agency
  • Petoskey, MI
  • NPI 1881060549
  NPD tax ID

Locations

Practitioners 6

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

• Lori A Katzman, M.D.

  • Psychiatry Physician
  • Charlevoix, MI
  • NPI 1467516476
  NPD (past)
• Kenneth A Parada, M.D.

  • Emergency Medicine Physician
  • Cheboygan, MI
  • NPI 1588697718
  NPD (past)
• Andrew Alexander Sahara, LP

  • Psychologist
  • Charlevoix, MI
  • NPI 1073716551
  NPD (past)
• Marit Elizabeth Vogel, M.D.

  • Child & Adolescent Psychiatry Physician
  • Petoskey, MI
  • NPI 1619037462
  NPD (past)
• Steven J Young, MD

  • Psychiatry Physician
  • Traverse City, MI
  • NPI 1306951223
  NPD (past)
• Kevin N Batterbee, D.O.

  • Psychiatry Physician
  • Colorado Springs, CO
  • NPI 1427112572
  NPD (past)

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

{
    "created_epoch": "1273795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273795200000",
    "number": "1366760381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MACDONALD DR",
            "address_2": "SUITE A",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497704406",
            "telephone_number": "231-347-7890",
            "fax_number": "231-347-1241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MACDONALD DR",
            "address_2": "SUITE A",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497704406",
            "telephone_number": "231-347-7890",
            "fax_number": "231-347-1241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH COUNTRY COMMUNITY MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-14",
        "last_updated": "2010-05-14",
        "status": "A",
        "authorized_official_last_name": "KACZYNSKI",
        "authorized_official_first_name": "ALEXIS",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "231-347-7890",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4476072",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• NMRS, P.C.
• Duane R Nolff, PA-C
• North Bay Ophthalmology, PC
• North Bay Ophthalmology, PC
• North Country Community Mental Health
• North Country Community Mental Health
• Northern Anesthesia Providers PC
• Northern Edge Institute of Rehabilitation
• Northern Family Medicine, PLLC
• Northern Imaging Associates P C

• Community/Behavioral Health Agency in Petoskey, MI
• Providers in Petoskey, 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 May 14, 2010; 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.