Active NPI
Macomb County Community Mental Helath
- Case Management Agency
- Clinton Township, MI
National Provider Identifier
1528209392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Legal business name
- MACOMB COUNTY COMMUNITY MENTAL HELATH
- Practice address
- 21885 Dunham Rd
Suite 1
Clinton Township, MI 48036-1030 - Phone
- (586) 469-5950
- Fax
- (586) 469-6637
- NPI assigned
- Mar 9, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Melissa Kay Trammel, B.S.
- Title
- Case Manager
- Phone
- (586) 469-5950
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | Primary |
Addresses
Primary practice location
21885 Dunham Rd
Suite 1
Clinton Township, MI 48036-1030
Mailing address
21885 Dunham Rd
Suite 1
Clinton Township, MI 48036-1030
Phone (586) 469-5950
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38-600-4868 | Medicaid | MI |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236556800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1236556800000",
"number": "1528209392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21885 DUNHAM RD",
"address_2": "SUITE 1",
"city": "CLINTON TOWNSHIP",
"state": "MI",
"postal_code": "480361030",
"telephone_number": "586-469-5950",
"fax_number": "586-469-6637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21885 DUNHAM RD",
"address_2": "SUITE 1",
"city": "CLINTON TOWNSHIP",
"state": "MI",
"postal_code": "480361030",
"telephone_number": "586-469-5950",
"fax_number": "586-469-6637"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MACOMB COUNTY COMMUNITY MENTAL HELATH",
"organizational_subpart": "NO",
"enumeration_date": "2009-03-09",
"last_updated": "2009-03-09",
"status": "A",
"authorized_official_last_name": "TRAMMEL",
"authorized_official_first_name": "MELISSA",
"authorized_official_middle_name": "KAY",
"authorized_official_title_or_position": "CASE MANAGER",
"authorized_official_telephone_number": "586-469-5950",
"authorized_official_credential": "B.S."
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "38-600-4868",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clinton Township, MI
- Macomb County Community Mental Health
- Macomb County Community Mental Health
- Macomb County Community Mental Health
- Macomb County Community Mental Health
- Macomb County Community Mental Health Services
- Macomb County Pediatrics Dba Clinton Preferred Pediatrics, PC
- Macomb Family Services, Inc
- Macomb Family Services, Inc.
- Macomb Gastroenterology PC
- Macomb General and Vascular Surgery, P.L.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.