Newaygo County Mental Health Board
Organization Active NPI Psychiatry Physician · White Cloud, MI
NPI 1386969996 · NPPES record last updated Apr 7, 2010
Key facts
- NPI
- 1386969996
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- 4301045669 (MI)
- Legal business name
- NEWAYGO COUNTY MENTAL HEALTH BOARD
- Practice address
- 1049 E Newell St
White Cloud, MI 49349-8795 - Phone
- (231) 689-7330
- Fax
- (231) 689-7345
- NPI assigned
- Apr 7, 2010
- Organization subpart
- No
Authorized official
- Name
- Greg Snyder, ACSW
- Title
- Executive Director
- Phone
- (231) 689-7330
Other NPIs on the same Medicare enrollment 1
Practitioners 44
-
Gretchen G Barnas, M.D.
-
Tamlynn Evans, APRN, BC, NP
-
Aaron Charles Greene, P.A.
-
Kara Hunter, MD
-
Hussein Jabre, DO
-
Robert Steven Lafleur, D.O.
-
Robert Poehl, PA C
-
Kenneth L Richmond, L.M.S.W.
-
Joel Manuel Sanchez, M.D.
-
Pwint P Phyu, M.D
-
Deola Saheed, MD
-
Nan Beth Alt, M.D.
-
Brittany Barrie, LMSW-CLINICAL
-
Keith David Bogucki, LLMSW
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080529000170 | MI | Part B Supplier - Clinic/Group Practice | 5092885384 |
Receives reassigned benefits from 23 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: White Cloud, MI |
National Provider Directory
Locations
1049 E Newell St
#867
White Cloud, MI 49349
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician |
2084P0800X | 4301045669 | MI | Yes |
Addresses
Primary practice location
1049 E Newell St
White Cloud, MI 49349-8795
Mailing address
1049 E Newell St # 867
White Cloud, MI 49349-8795
Phone (231) 689-7330
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1708066 | Medicaid | MI | |
| 700F260140 | Other | MI | BLUE CROSS/BLUE SHIELD |
| P47070002 | Other | MI | MEDICARE PTAN |
| 4892416 | Medicaid | MI | |
| 4359826 | Medicaid | MI | |
| P57070001 | Other | MI | MEDICARE PTAN |
| 1417139692 | Other | MI | NPI - DR. ALT |
Other names
- Newaygo County Mental Health
Other providers in White Cloud, MI
- Virginia Rose Near
- Hillary Lynn Nelson
- Newaygo County Community Mental Health
- Newaygo County Mental Health Board
- Newaygo County Mental Health Board
- Northern Home Care Inc
- Carol Norton
- Amanda Marie Orrell
- Jennifer J Parks
- Melanie L Pell
All providers in White Cloud, MI · Psychiatry Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 7, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.