Organization Active NPI

Marybartkowiak

  • Community/Behavioral Health Agency
  • Brighton, MI
National Provider Identifier
1558724088
Registry record updated Apr 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
6801059955 Issued in MI
Legal business name
MARYBARTKOWIAK
Practice address
6216 Kevin Dr
Brighton, MI 48116-1717
Phone
(810) 623-8324
NPI assigned
Apr 1, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2016

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

Authorized official

Name
Mary Bartkowiaksc, LMSW
Title
Clinical Social Worker
Phone
(810) 623-8324

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 6801059955 MI Primary

Addresses

Primary practice location

6216 Kevin Dr
Brighton, MI 48116-1717

Mailing address

6216 Kevin Dr
Brighton, MI 48116-1717
Phone (810) 623-8324

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1459468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459468800000",
    "number": "1558724088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6216 KEVIN DR",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481161717",
            "telephone_number": "810-623-8324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6216 KEVIN DR",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481161717",
            "telephone_number": "810-623-8324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYBARTKOWIAK",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-01",
        "last_updated": "2016-04-01",
        "status": "A",
        "authorized_official_last_name": "BARTKOWIAKSC",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "810-623-8324",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "6801059955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brighton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2016; 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.