Manistee Benzie Community Mental Health

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MANISTEE BENZIE COMMUNITY MENTAL HEALTH

Practice address

310 Glocheski Dr
Manistee, MI 49660-2639

Phone

(877) 398-2013

NPI assigned

Feb 5, 2007

Organization subpart

No

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

Authorized official

Name

Donna Nieman

Title

Finance Officer

Phone

(877) 398-2013

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Manistee Benzie CMH2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Manistee Benzie CMH

  • Community/Behavioral Health Agency
  • Benzonia, MI
  • NPI 1518957208
  NPD tax ID

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658448000000",
    "number": "1699814905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 GLOCHESKI DR",
            "city": "MANISTEE",
            "state": "MI",
            "postal_code": "496602639",
            "telephone_number": "877-398-2013",
            "fax_number": "231-723-1504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 GLOCHESKI DR",
            "city": "MANISTEE",
            "state": "MI",
            "postal_code": "496602639",
            "telephone_number": "877-398-2013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANISTEE BENZIE COMMUNITY MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2022-07-22",
        "certification_date": "2022-07-22",
        "status": "A",
        "authorized_official_last_name": "NIEMAN",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "FINANCE OFFICER",
        "authorized_official_telephone_number": "877-398-2013"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1705304",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pamela Dawn Lynch, OD
• Dawn M Madsen, LMSW
• Jeri Madsen
• Manistee Benzie Community Mental Health (Centra Wellness Network)
• Manistee Benzie Community Mental Health (Centra Wellness Network)
• Manistee County Council on Aging
• Manistee County Medical Care
• Manistee Dermatology
• Manistee Family Health Care PLC
• Manistee Intermediate School District

• Community/Behavioral Health Agency in Manistee, MI
• Providers in Manistee, MI by specialty
• Community/Behavioral Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2022; 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.