NPIMap

Organization Active NPI

Ascension Borgess Allegan Hospital

  • Psychiatry Physician
  • Allegan, MI
National Provider Identifier
1871518019
Registry record updated Aug 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
ASCENSION BORGESS ALLEGAN HOSPITAL
Practice address
551 Linn St
Suite 230
Allegan, MI 49010-1595
Phone
(269) 686-4110
Fax
(269) 686-2135
NPI assigned
Jul 12, 2006
Organization subpart
Yes
Parent organization
ASCENSION ALLEGAN HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 18, 2021

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

Authorized official

Name
Mr. Marina Houghton
Title
VP Finance
Phone
(313) 570-5704

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103T00000X
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X
Psychiatry PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

551 Linn St
Suite 230
Allegan, MI 49010-1595

Mailing address

551 Linn St
Suite 230
Allegan, MI 49010-1595
Phone (269) 686-4110

Other identifiers 1

IdentifierTypeStateIssuer
0Z36010OtherMIBCBSM

National Provider Directory

National Provider Directory
Part of
Allegan General Hospita

Locations

930 Commonwealth Ave
Boston, MA 02215
Phone (617) 262-2020

770 Centre St
Newton, MA 02458
Phone (617) 969-6200

551 Linn St
Ste 220
Allegan, MI 49010
Phone (269) 573-5571

Practitioners & affiliated clinicians

Practitioners 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629244800000",
    "number": "1871518019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "551 LINN ST",
            "address_2": "SUITE 230",
            "city": "ALLEGAN",
            "state": "MI",
            "postal_code": "490101595",
            "telephone_number": "269-686-4110",
            "fax_number": "269-686-2135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 LINN ST",
            "address_2": "SUITE 230",
            "city": "ALLEGAN",
            "state": "MI",
            "postal_code": "490101595",
            "telephone_number": "269-686-4110",
            "fax_number": "269-686-2135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASCENSION BORGESS ALLEGAN HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ASCENSION ALLEGAN HOSPITAL",
        "enumeration_date": "2006-07-12",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A",
        "authorized_official_last_name": "HOUGHTON",
        "authorized_official_first_name": "MARINA",
        "authorized_official_title_or_position": "VP FINANCE",
        "authorized_official_telephone_number": "313-570-5704",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "0Z36010",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Allegan, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; 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.