NPIMap

Organization Active NPI

Raspberry Manor

  • Adult Mental Health Clinic/Center
  • Goodrich, MI
National Provider Identifier
1609135409
Registry record updated May 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
AF250071517 Issued in MI
Legal business name
RASPBERRY MANOR
Practice address
6141 S State Rd
Goodrich, MI 48438-8849
Phone
(810) 636-3900
Fax
(810) 636-3900
NPI assigned
May 14, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2012

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

Authorized official

Name
Mr. Curtis Dale Cousineau
Title
Co Owner
Phone
(810) 636-3900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X AF250071517 MI Primary

Addresses

Primary practice location

6141 S State Rd
Goodrich, MI 48438-8849

Mailing address

6141 S State Rd
Goodrich, MI 48438-8849
Phone (810) 636-3900

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1336953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336953600000",
    "number": "1609135409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6141 S STATE RD",
            "city": "GOODRICH",
            "state": "MI",
            "postal_code": "484388849",
            "telephone_number": "810-636-3900",
            "fax_number": "810-636-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6141 S STATE RD",
            "city": "GOODRICH",
            "state": "MI",
            "postal_code": "484388849",
            "telephone_number": "810-636-3900",
            "fax_number": "810-636-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RASPBERRY MANOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-14",
        "last_updated": "2012-05-14",
        "status": "A",
        "authorized_official_last_name": "COUSINEAU",
        "authorized_official_first_name": "CURTIS",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "CO OWNER",
        "authorized_official_telephone_number": "810-636-3900",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "MI",
            "license": "AF250071517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodrich, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2012; 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.