Michael Kevin Geoghan, R.N., L.M.S.W.
Individual provider Active NPI Administrator Registered Nurse · White Cloud, MI
NPI 1508974726 · NPPES record last updated Sep 11, 2025
Key facts
- NPI
- 1508974726
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Administrator Registered Nurse 163WA2000X
- License
- 4704110516 (MI)
- Practice address
- 1049 E Newell St
White Cloud, MI 49349-8795 - Phone
- (231) 689-7330
- Fax
- (231) 689-7345
- NPI assigned
- Aug 28, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801059977 | MI | MD | Clinical Social Worker |
| 4704110516 | MI | MD | Administrator Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Newaygo County Mental Health Board | Past | Accepting new patients | |
| Newaygo County Mental Health Board | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801059977 | MI | |
| Administrator Registered Nurse | 163WA2000X | 4704110516 | MI | Yes |
Addresses
Primary practice location
1049 E Newell St
White Cloud, MI 49349-8795
Mailing address
1881 Ora St
Muskegon, MI 49445-1621
Phone (231) 689-7330
Other providers in White Cloud, MI
- Jacob Fields
- Amber Gall
- Emily Gallaway
- Jonathan B Gamm
- Joseph Gardner
- Brent Glasgow
- Lori Goldin
- John Robert Greene
- Julia Gruss
- Gunnell Senior Care, LLC
All providers in White Cloud, MI · Administrator Registered Nurse in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.