NPIMap

Organization Active NPI

Shiawassee County Community Mental Health Authority

  • Psychologist
  • Owosso, MI
National Provider Identifier
1396923769
Registry record updated Jan 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
SHIAWASSEE COUNTY COMMUNITY MENTAL HEALTH AUTHORITY
Practice address
1555 Industrial Dr
Owosso, MI 48867-9775
Phone
(989) 723-0732
NPI assigned
Feb 7, 2008
Organization subpart
Yes
Parent organization
SHIAWASSEE COUNTY COMMUNITY MENTAL HEALTH AUTHORITYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 18, 2018

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

Authorized official

Name
Laura Stephen
Title
Financial Services Supervisor
Phone
(989) 723-0732

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

1555 Industrial Dr
Owosso, MI 48867-9775

Mailing address

1555 Industrial Dr
Owosso, MI 48867-9775
Phone (989) 723-6791

Other identifiers 1

IdentifierTypeStateIssuer
0G81020OtherMALLP GROUP

Other names 1

  • Shiawassee Health & Wellness Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Shiawassee County Authority3 organizations share this tax ID, including this one
Part of
Shiawassee County Authority

Other organizations with this tax ID 2

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1202342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516233600000",
    "number": "1396923769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 INDUSTRIAL DR",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488679775",
            "telephone_number": "989-723-6791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 INDUSTRIAL DR",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488679775",
            "telephone_number": "989-723-0732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIAWASSEE COUNTY COMMUNITY MENTAL HEALTH AUTHORITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SHIAWASSEE COUNTY COMMUNITY MENTAL HEALTH AUTHORITY",
        "enumeration_date": "2008-02-07",
        "last_updated": "2018-01-18",
        "status": "A",
        "authorized_official_last_name": "STEPHEN",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "FINANCIAL SERVICES SUPERVISOR",
        "authorized_official_telephone_number": "989-723-0732"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MALLP GROUP",
            "identifier": "0G81020",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shiawassee Health & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Owosso, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2018; 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.