Organization Active NPI

Catholic Charities of Michigan Incorporated

  • Community/Behavioral Health Agency
  • Adrian, MI
National Provider Identifier
1528117744
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CATHOLIC CHARITIES OF MICHIGAN INCORPORATED
Practice address
199 N Broad St
Adrian, MI 49221-2762
Phone
(517) 263-2191
Fax
(517) 264-6080
NPI assigned
Jan 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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

Authorized official

Name
Mr. Roberto M. Javier, MHA
Title
Ceo Executive Director
Phone
(734) 223-1844

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

199 N Broad St
Adrian, MI 49221-2762

Mailing address

199 N Broad St
Adrian, MI 49221-2762
Phone (517) 263-2191

National Provider Directory

National Provider Directory

Locations

4925 Packard St
Ste 16
Ann Arbor, MI 48108
Phone (734) 971-9781

206 Health Pkwy
Houghton Lake, MI 48629
Phone (800) 506-3602

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737936000000",
    "number": "1528117744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 N BROAD ST",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492212762",
            "telephone_number": "517-263-2191",
            "fax_number": "517-264-6080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 N BROAD ST",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492212762",
            "telephone_number": "517-263-2191",
            "fax_number": "517-264-6080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHOLIC CHARITIES OF MICHIGAN INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A",
        "authorized_official_last_name": "JAVIER",
        "authorized_official_first_name": "ROBERTO",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "CEO  EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "734-223-1844",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MHA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Adrian, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; 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.