NPIMap

Organization Active NPI

Northern Michigan Re-Integration Services, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Gaylord, MI
National Provider Identifier
1821218355
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
NORTHERN MICHIGAN RE-INTEGRATION SERVICES, INC.
Practice address
651 N Otsego Ave
Gaylord, MI 49735-1531
Phone
(989) 732-4550
Fax
(989) 732-2551
NPI assigned
Apr 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Kurt M Wheeler, L.L.P., L.P.C.NPI 1851528012
Title
Owner
Phone
(989) 732-4550

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X MI Primary

Addresses

Primary practice location

651 N Otsego Ave
Gaylord, MI 49735-1531

Mailing address

651 N Otsego Ave
Gaylord, MI 49735-1531
Phone (989) 732-4550

Other names 1

  • Northern Pathways Other name

National Provider Directory

National Provider Directory

Locations

651 N Otsego Ave
Gaylord, MI 49735
Phone (989) 732-4550

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821218355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 N OTSEGO AVE",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497351531",
            "telephone_number": "989-732-4550",
            "fax_number": "989-732-2551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 N OTSEGO AVE",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497351531",
            "telephone_number": "989-732-4550",
            "fax_number": "989-732-2551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN MICHIGAN RE-INTEGRATION SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WHEELER",
        "authorized_official_first_name": "KURT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-732-4550",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.L.P., L.P.C."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northern Pathways",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Gaylord, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.