Organization Active NPI

Mental Health Michigan PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Rochester Hills, MI
National Provider Identifier
1750620225
Registry record updated Dec 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
4704156612 Issued in MI
Legal business name
MENTAL HEALTH MICHIGAN PLLC
Practice address
671 W Bluff CT
Rochester Hills, MI 48307-6081
Phone
(248) 759-4941
Fax
(866) 703-7884
NPI assigned
Feb 4, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2013

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

Authorized official

Name
James White Jr., PHD, NP, LMSW
Title
President
Phone
(248) 759-4941

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X 4704156612 MI Primary

Addresses

Primary practice location

671 W Bluff CT
Rochester Hills, MI 48307-6081

Mailing address

671 W Bluff CT
Rochester Hills, MI 48307-6081
Phone (248) 759-4941

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1359936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387324800000",
    "number": "1750620225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "671 W BLUFF CT",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483076081",
            "telephone_number": "248-759-4941",
            "fax_number": "866-703-7884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "671 W BLUFF CT",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483076081",
            "telephone_number": "248-759-4941",
            "fax_number": "866-703-7884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL HEALTH MICHIGAN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-04",
        "last_updated": "2013-12-18",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-759-4941",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PHD, NP, LMSW"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704156612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2013; 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.