Organization Active NPI

McDonald & Kimball PLC

  • Adult Mental Health Clinic/Center
  • Fenton, MI
National Provider Identifier
1619112620
Registry record updated Dec 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
MCDONALD & KIMBALL PLC
Practice address
129 N River St
Fenton, MI 48430-3800
Phone
(810) 629-0760
Fax
(810) 616-6268
NPI assigned
Dec 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2008

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

Authorized official

Name
Mr. William K McDonald, M.DIV., LMSW
Title
Partner & Authorized Agent
Phone
(810) 629-0760

Specialties & licenses 1

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

Addresses

Primary practice location

129 N River St
Fenton, MI 48430-3800

Mailing address

129 N River St
Fenton, MI 48430-3800
Phone (810) 629-0760

Other names 1

  • McDonald & Kimball PLC Counseling Services Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1228348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228348800000",
    "number": "1619112620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 N RIVER ST",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484303800",
            "telephone_number": "810-629-0760",
            "fax_number": "810-616-6268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 N RIVER ST",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484303800",
            "telephone_number": "810-629-0760",
            "fax_number": "810-616-6268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCDONALD & KIMBALL PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-04",
        "last_updated": "2008-12-04",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PARTNER & AUTHORIZED AGENT",
        "authorized_official_telephone_number": "810-629-0760",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.DIV., LMSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McDonald & Kimball PLC Counseling Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fenton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2008; 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.