NPIMap

Organization Active NPI

West Michigan Therapy Inc

  • Early Intervention Provider Agency
  • Muskegon, MI
National Provider Identifier
1851642367
Registry record updated Sep 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
WEST MICHIGAN THERAPY INC
Practice address
1823 Commerce St
2333 Jarman St
Muskegon, MI 49441
Phone
(231) 728-2138
Fax
(231) 722-4771
NPI assigned
Sep 24, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2012

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

Authorized official

Name
Randal Eugene Dame, ASSOCIATES CADC-M
Title
Certified Alcohol & Drug Counselo
Phone
(231) 728-2138

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Early Intervention Provider Agency 252Y00000X Primary

Addresses

Primary practice location

1823 Commerce St
2333 Jarman St
Muskegon, MI 49441

Mailing address

1823 Commerce St
Same
Muskegon, MI 49441
Phone (231) 728-2138

National Provider Directory

National Provider Directory
Tax ID family
West Michigan Therapy Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

1823 Commerce St
#2333
Muskegon, MI 49441
Phone (231) 728-2138

NPI Registry JSON

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

{
    "created_epoch": "1348444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348444800000",
    "number": "1851642367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1823 COMMERCE ST",
            "address_2": "SAME",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "49441",
            "telephone_number": "231-728-2138",
            "fax_number": "231-722-4771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1823 COMMERCE ST",
            "address_2": "2333 JARMAN ST",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "49441",
            "telephone_number": "231-728-2138",
            "fax_number": "231-722-4771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST MICHIGAN THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-24",
        "last_updated": "2012-09-24",
        "status": "A",
        "authorized_official_last_name": "DAME",
        "authorized_official_first_name": "RANDAL",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "CERTIFIED ALCOHOL & DRUG COUNSELO",
        "authorized_official_telephone_number": "231-728-2138",
        "authorized_official_credential": "ASSOCIATES CADC-M"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskegon, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2012; 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.