Active NPI
Disability Network/ Lakeshore
- Community/Behavioral Health Agency
- Holland, MI
National Provider Identifier
1710350228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 6801095023
- Legal business name
- DISABILITY NETWORK/ LAKESHORE
- Practice address
- 426 Century LN
Holland, MI 49423-2200 - Phone
- (616) 396-5326
- NPI assigned
- Nov 5, 2015
- Last updated
- Nov 5, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Todd Whiteman
- Title
- Executive Director
- Phone
- (616) 396-5326
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 6801095023 | MI | Primary |
Addresses
Primary practice location
426 Century LN
Holland, MI 49423-2200
Mailing address
426 Century LN
Holland, MI 49423-2200
Phone (616) 396-5326
National Provider Directory
National Provider DirectoryLocations
426 Century Ln
Holland, MI 49423
Phone (616) 396-5326
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Counselor
- Holland, MI
- NPI 1679946107
-
- Social Worker
- Holland, MI
- NPI 1265805782
-
- Social Worker
- Muskegon, MI
- NPI 1811352156
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446681600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1446681600000",
"number": "1710350228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "426 CENTURY LN",
"city": "HOLLAND",
"state": "MI",
"postal_code": "494232200",
"telephone_number": "616-396-5326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "426 CENTURY LN",
"city": "HOLLAND",
"state": "MI",
"postal_code": "494232200",
"telephone_number": "616-396-5326"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DISABILITY NETWORK/ LAKESHORE",
"organizational_subpart": "NO",
"enumeration_date": "2015-11-05",
"last_updated": "2015-11-05",
"status": "A",
"authorized_official_last_name": "WHITEMAN",
"authorized_official_first_name": "TODD",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "616-396-5326",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "MI",
"license": "6801095023",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Holland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.