Individual provider Active NPI

Ann Eliina Muntter, MSW

  • Clinical Social Worker
  • Kalamazoo, MI
National Provider Identifier
1811083413
Registry record updated May 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801020352 Issued in MI
Practice address
5340 Holiday Terrace
CFPS
Kalamazoo, MI 49009
Phone
(269) 372-4140
Fax
(269) 372-0390
NPI assigned
Oct 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801020352 MI Primary

Addresses

Primary practice location

5340 Holiday Terrace
CFPS
Kalamazoo, MI 49009

Mailing address

5340 Holiday Terrace
CFPS
Kalamazoo, MI 49009
Phone (269) 372-4140

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121107000749 MI Practitioner - Clinical Social Worker 1951552561 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mid America Psychological Services PCGroup PAC ID 1759374812, 6 clinicians

Practice addresses (Care Compare)

8036 Moorsbridge Rd
Suite 2
Portage, MI 49024-4417
Phone (269) 327-1438

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801020352MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-America Psychological Services, P. C. Clinical CurrentSince May 9, 2023 Accepting new patients

Locations

3325 Greenleaf Blvd
Kalamazoo, MI 49008

8036 Moorsbridge Rd
Ste 2
Portage, MI 49024
Phone (269) 327-1438

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336003200000",
    "number": "1811083413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5340 HOLIDAY TERRACE",
            "address_2": "CFPS",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "49009",
            "telephone_number": "269-372-4140",
            "fax_number": "269-372-0390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5340 HOLIDAY TERRACE",
            "address_2": "CFPS",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "49009",
            "telephone_number": "269-372-4140",
            "fax_number": "269-372-0390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNTTER",
        "first_name": "ANN",
        "middle_name": "ELIINA",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2012-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801020352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

Verify at the official NPI Registry.