NPIMap

Organization Active NPI

Avalon Behavioral Health, PLC

  • Psychologist
  • Battle Creek, MI
National Provider Identifier
1376780874
Registry record updated Jul 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6301012986 Issued in MI
Legal business name
AVALON BEHAVIORAL HEALTH, PLC
Practice address
491 E Columbia Ave
Ste. 4
Battle Creek, MI 49014-5468
Phone
(269) 962-9611
Fax
(269) 962-9612
NPI assigned
Jan 21, 2009
Last updated
Jul 14, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2020

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

Authorized official

Name
Dr. Camille Ann Hood, PH.DNPI 1912084310
Title
Owner
Phone
(269) 962-9611

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
Psychologist 103T00000X 6301012986 MI Primary

Addresses

Primary practice location

491 E Columbia Ave
Ste. 4
Battle Creek, MI 49014-5468

Mailing address

491 Columbia Ave E
Ste 4
Battle Creek, MI 49014-5468
Phone (269) 962-9611

National Provider Directory

National Provider Directory
Tax ID family
Avalon Behavioral Health PLC2 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.

Practitioners & affiliated clinicians

Practitioners 10

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": "1232496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594684800000",
    "number": "1376780874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "491 COLUMBIA AVE E",
            "address_2": "STE 4",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490145468",
            "telephone_number": "269-962-9611",
            "fax_number": "269-962-9612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "491 E COLUMBIA AVE",
            "address_2": "STE. 4",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490145468",
            "telephone_number": "269-962-9611",
            "fax_number": "269-962-9612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVALON BEHAVIORAL HEALTH, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-21",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A",
        "authorized_official_last_name": "HOOD",
        "authorized_official_first_name": "CAMILLE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "269-962-9611",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301012986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Battle Creek, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.