NPIMap

Organization Active NPI

Macomb County Community Mental Health

  • Point of Service
  • Clinton Township, MI
National Provider Identifier
1568846897
Registry record updated Jul 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
6401014842 Issued in MI
Legal business name
MACOMB COUNTY COMMUNITY MENTAL HEALTH
Practice address
21885 Dunham Rd
Suite 1
Clinton Township, MI 48036-1030
Phone
(586) 469-5950
NPI assigned
Jul 16, 2015
Last updated
Jul 16, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2015

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

Authorized official

Name
Mary C Bowers, M.A., L.L.P.C.NPI 1265817340
Title
Wrap Around Facilitator
Phone
(586) 531-8245

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X 6401014842 MI 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

National Provider Directory

National Provider Directory
Tax ID family
Macomb Cy Com Men HLTH15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

Locations

21885 Dunham Rd
Ste 1
Clinton Twp, MI 48036
Phone (586) 469-5950

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1437004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437004800000",
    "number": "1568846897",
    "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACOMB COUNTY COMMUNITY MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-16",
        "last_updated": "2015-07-16",
        "status": "A",
        "authorized_official_last_name": "BOWERS",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "WRAP AROUND FACILITATOR",
        "authorized_official_telephone_number": "586-531-8245",
        "authorized_official_credential": "M.A., L.L.P.C."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "MI",
            "license": "6401014842",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 16, 2015; 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.