NPIMap

Organization Active NPI

Wolverine Human Services

  • Psychiatric Residential Treatment Facility
  • Vassar, MI
National Provider Identifier
1871831750
Registry record updated Jan 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
Legal business name
WOLVERINE HUMAN SERVICES
Practice address
150 Enterprise Dr
Vassar, MI 48768-9584
Phone
(989) 823-3040
NPI assigned
Jan 28, 2013
Last updated
Jan 28, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2013

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

Authorized official

Name
Mr. Derrick McCree, MSW
Title
Director of Residential Programs
Phone
(989) 823-3040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X NU Primary

Addresses

Primary practice location

150 Enterprise Dr
Vassar, MI 48768-9584

Mailing address

150 Enterprise Dr
Vassar, MI 48768-9584

National Provider Directory

National Provider Directory
Tax ID family
Wolverine Human Services5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1359331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359331200000",
    "number": "1871831750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 ENTERPRISE DR",
            "city": "VASSAR",
            "state": "MI",
            "postal_code": "487689584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 ENTERPRISE DR",
            "city": "VASSAR",
            "state": "MI",
            "postal_code": "487689584",
            "telephone_number": "989-823-3040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOLVERINE HUMAN SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-28",
        "last_updated": "2013-01-28",
        "status": "A",
        "authorized_official_last_name": "MCCREE",
        "authorized_official_first_name": "DERRICK",
        "authorized_official_title_or_position": "DIRECTOR OF RESIDENTIAL PROGRAMS",
        "authorized_official_telephone_number": "989-823-3040",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vassar, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2013; 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.