Active NPI
Craig John Hause, MALLP
- Psychologist
- Owosso, MI
National Provider Identifier
1477547255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6301008418
- Practice address
- 1555 Industrial Dr
Owosso, MI 48867-9775 - Phone
- (989) 723-6791
- Fax
- (989) 725-5061
- NPI assigned
- Sep 7, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 6301008418 | MI | Primary |
Addresses
Primary practice location
1555 Industrial Dr
Owosso, MI 48867-9775
Mailing address
PO Box 428
Owosso, MI 48867-0428
Phone (989) 723-6791
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P10G81020 | Other | MI | BCBS |
| 0995785 | Other | MI | HEALTH PLUS |
| 62022285 | Other | UBH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301008418 | MI | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Michigan Community Mental Health System | Past | Accepting new patients | |
| Shiawassee County Community Mental Health Authority | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Owosso, MI
- NPI 1497749279
-
- Mental Health Counselor
- Ludington, MI
- NPI 1275646309
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201651200000",
"number": "1477547255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 428",
"city": "OWOSSO",
"state": "MI",
"postal_code": "488670428",
"telephone_number": "989-723-6791",
"fax_number": "989-725-5061"
},
{
"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": "989-723-6791",
"fax_number": "989-725-5061"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAUSE",
"first_name": "CRAIG",
"middle_name": "JOHN",
"credential": "MALLP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-07",
"last_updated": "2008-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MI",
"license": "6301008418",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "P10G81020",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PLUS",
"identifier": "0995785",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UBH",
"identifier": "62022285",
"state": null
}
],
"endpoints": [],
"other_names": []
}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 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.