NPIMap

Organization Active NPI

Community Mental Health for Central Michigan

  • Psychiatry Physician
  • Mt Pleasant, MI
National Provider Identifier
1609412840
Registry record updated Apr 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
COMMUNITY MENTAL HEALTH FOR CENTRAL MICHIGAN
Practice address
301 S Crapo St Ste 200
Mt Pleasant, MI 48858-2941
Phone
(989) 772-5938
Fax
(989) 775-7701
NPI assigned
Nov 22, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2023

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

Authorized official

Name
Bryan Krogman
Title
Executive Director
Phone
(989) 772-5938

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101Y00000X
PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103T00000X
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X
Psychiatry PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084P0800X Primary
General Practice PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208D00000X
Occupational TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225X00000X
Mental Health Occupational TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225XM0800X
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LP0808X
Psychiatric/Mental Health Clinical Nurse SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 364SP0808X

Addresses

Primary practice location

301 S Crapo St Ste 200
Mt Pleasant, MI 48858-2941

Mailing address

301 S Crapo St Ste 100
Mt Pleasant, MI 48858-2941
Phone (989) 772-5938

Other practice location 1

218 Fast Ice Dr
Midland, MI 48642-6167
Phone (989) 631-2320

Other practice location 2

789 N Clare Ave
Harrison, MI 48625-8250
Phone (989) 539-2141

Other practice location 3

655 E Cedar Ave
Gladwin, MI 48624-2215
Phone (989) 426-9295

Other practice location 4

500 S 3rd Ave
Big Rapids, MI 49307-9501
Phone (231) 796-5825

Other practice location 5

4473 220th Ave
Reed City, MI 49677-8593
Phone (231) 832-2247

Other names 1

  • Community Mental Health for Central Michigan Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Community Mental Health for Central Michigan4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

218 Fast Ice Dr
Midland, MI 48642
Phone (989) 631-2320

301 S Crapo St
Ste 200
Mt Pleasant, MI 48858
Phone (989) 772-5938

4473 220th Ave
Reed City, MI 49677
Phone (231) 832-2247

Practitioners & affiliated clinicians

Practitioners 266

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

View all 266

NPI Registry JSON

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

{
    "created_epoch": "1574380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682035200000",
    "number": "1609412840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 S CRAPO ST STE 100",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488582941",
            "telephone_number": "989-772-5938",
            "fax_number": "989-773-1968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S CRAPO ST STE 200",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488582941",
            "telephone_number": "989-772-5938",
            "fax_number": "989-775-7701"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "218 Fast Ice Dr",
            "address_purpose": "LOCATION",
            "city": "Midland",
            "state": "MI",
            "postal_code": "486426167",
            "country_code": "US",
            "telephone_number": "989-631-2320",
            "fax_number": "989-631-9214",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "789 N Clare Ave",
            "address_purpose": "LOCATION",
            "city": "Harrison",
            "state": "MI",
            "postal_code": "486258250",
            "country_code": "US",
            "telephone_number": "989-539-2141",
            "fax_number": "989-539-2143",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "655 E Cedar Ave",
            "address_purpose": "LOCATION",
            "city": "Gladwin",
            "state": "MI",
            "postal_code": "486242215",
            "country_code": "US",
            "telephone_number": "989-426-9295",
            "fax_number": "989-426-2251",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 S 3rd Ave",
            "address_purpose": "LOCATION",
            "city": "Big Rapids",
            "state": "MI",
            "postal_code": "493079501",
            "country_code": "US",
            "telephone_number": "231-796-5825",
            "fax_number": "231-796-2409",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4473 220th Ave",
            "address_purpose": "LOCATION",
            "city": "Reed City",
            "state": "MI",
            "postal_code": "496778593",
            "country_code": "US",
            "telephone_number": "231-832-2247",
            "fax_number": "231-832-3281",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COMMUNITY MENTAL HEALTH FOR CENTRAL MICHIGAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-22",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-21",
        "status": "A",
        "authorized_official_last_name": "KROGMAN",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "989-772-5938"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "364SP0808X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Mental Health for Central Michigan",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Community Mental Health for Central Michigan",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mt Pleasant, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2023; 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.