Harbors North LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

HARBORS NORTH LLC

Practice address

3890 Charlevoix Rd Ste 210
Petoskey, MI 49770-8420

Phone

(231) 445-1898

NPI assigned

Oct 18, 2024

Last updated

Dec 19, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Ryan Schelldorf

Title

President

Phone

(231) 445-1898

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 3

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.

• Matthew Thomas McKenna, M.D.

  • Psychiatry Physician
  • Bakersfield, CA
  • NPI 1578729588

  MI

  Medicare reassignment Care Compare group NPD
• Kaitlyn Baldwin, FNP-BC

  • Family Nurse Practitioner
  • Traverse City, MI
  • NPI 1790485571
  Medicare reassignment Care Compare group
• Garrett William Hair, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Harbor Springs, MI
  • NPI 1922841022
  Medicare reassignment NPD

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

{
    "created_epoch": "1729209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734566400000",
    "number": "1407677990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ALTAIR DR",
            "city": "BOYNE CITY",
            "state": "MI",
            "postal_code": "497129618",
            "telephone_number": "231-445-1898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3890 CHARLEVOIX RD STE 210",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497708420",
            "telephone_number": "231-445-1898"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Altair Dr",
            "address_purpose": "LOCATION",
            "city": "Boyne City",
            "state": "MI",
            "postal_code": "497129618",
            "country_code": "US",
            "telephone_number": "231-445-1898",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HARBORS NORTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-18",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A",
        "authorized_official_last_name": "SCHELLDORF",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "231-445-1898",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harbor Hall, Inc.
• Harbor Hall, Inc.
• Harbor Home Healthcare,Inc.
• Harbor Neurology PLC
• Harbor Pointe Dental
• Harborside Dental Associates
• Elizabeth Harp, LLPC
• Patricia A Harrington, LMSW
• Michelle Lynn Harrison, MS, CCC-SLP
• Harry T Colfer Cardiac Consultants (Harry T Colfer Cardiology Consultants)

• Psychiatry Physician in Petoskey, MI
• Providers in Petoskey, MI by specialty
• Psychiatry Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; 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.