Alpha Psychological Services of Western Michigan
Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Muskegon, MI
NPI 1811291990 · NPPES record last updated Mar 25, 2011
Key facts
- NPI
- 1811291990
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
- License
- 6301006533 (MI)
- Legal business name
- ALPHA PSYCHOLOGICAL SERVICES OF WESTERN MICHIGAN
- Practice address
- 1804 Oak Ave
Muskegon, MI 49442-2408 - Phone
- (231) 773-8093
- Fax
- (231) 773-8952
- NPI assigned
- Jan 4, 2011
- Organization subpart
- No
Authorized official
- Name
- Dr. Allan Warren Crummett, ED.D.
- Title
- Licensed Psychologist
- Phone
- (231) 773-8093
Practitioners 1
-
Allan Warren Crummett, ED.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110105000305 | MI | Part B Supplier - Clinic/Group Practice | 0648469742 |
Receives reassigned benefits from 1 practitioner Practice locations: Muskegon, MI |
National Provider Directory
Locations
1804 Oak Ave
Muskegon, MI 49442
Phone (231) 773-8093
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | 6301006533 | MI | Yes |
Addresses
Primary practice location
1804 Oak Ave
Muskegon, MI 49442-2408
Mailing address
1804 Oak Ave
Muskegon, MI 49442-2408
Phone (231) 773-8093
Other providers in Muskegon, MI
- Laura Jean Allen
- Tenasha Allen
- Vernon William Allen
- Kenneth Richard Almas
- Doaa Alnaggar
- Elizabeth Ann Alsteens
- Nathan Altner
- Maria Alvarado
- David Alexander Alves Sr.
- Ekow Damoah Amakye
All providers in Muskegon, MI · Mental Health Clinic/Center (Including Community Mental Health Center) in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 25, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.