NPIMap

Organization Active NPI

Gerber Memorial Health Services

Doing business as Counseling Center of GMHS

  • Cognitive & Behavioral Psychologist
  • Fremont, MI
National Provider Identifier
1730414848
Registry record updated Jan 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X
Legal business name
GERBER MEMORIAL HEALTH SERVICES
Doing business as
Counseling Center of GMHS
Practice address
212 S Sullivan Ave
Fremont, MI 49412-1548
Phone
(231) 924-3300
Fax
(231) 924-1164
NPI assigned
Oct 7, 2009
Last updated
Jan 8, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
NEWAYGO COUNTY GENERAL HOSPITAL ASSOCIATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 8, 2010

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

Authorized official

Name
Mr. Randall J Stasik
Title
Ceo
Phone
(231) 924-1340

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral Psychologist 103TB0200X NU Primary

Addresses

Primary practice location

212 S Sullivan Ave
Fremont, MI 49412-1548

Mailing address

212 S Sullivan Ave
Fremont, MI 49412-1548
Phone (231) 924-3300

Other names 1

  • Counseling Center of GMHS Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Hesperia Medical Center15 organizations share this tax ID, including this one
Part of
Hesperia Medical Center

Other organizations with this tax ID 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1254873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262908800000",
    "number": "1730414848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 S SULLIVAN AVE",
            "city": "FREMONT",
            "state": "MI",
            "postal_code": "494121548",
            "telephone_number": "231-924-3300",
            "fax_number": "231-924-1164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 S SULLIVAN AVE",
            "city": "FREMONT",
            "state": "MI",
            "postal_code": "494121548",
            "telephone_number": "231-924-3300",
            "fax_number": "231-924-1164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERBER MEMORIAL HEALTH SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEWAYGO COUNTY GENERAL HOSPITAL ASSOCIATION",
        "enumeration_date": "2009-10-07",
        "last_updated": "2010-01-08",
        "status": "A",
        "authorized_official_last_name": "STASIK",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "231-924-1340",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Counseling Center of GMHS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fremont, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2010; 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.