Organization Active NPI

Macomb County Community Mental Helath

  • Case Management Agency
  • Clinton Township, MI
National Provider Identifier
1528209392
Registry record updated Mar 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
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

Updated by the provider on Mar 9, 2009

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
38-600-4868MedicaidMI

National Provider Directory

National Provider Directory

NPI 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

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.

Verify at the official NPI Registry.