Community Mental Health for Central Michigan

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

5101010873 Issued in MI

Legal business name

COMMUNITY MENTAL HEALTH FOR CENTRAL MICHIGAN

Practice address

301 S Crapo St
Suite 100
Mt Pleasant, MI 48858-2941

Phone

(989) 773-6961

Fax

(989) 773-1968

NPI assigned

Jun 29, 2006

Reactivated

Nov 30, 2018

Last updated

Apr 21, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bryan Krogman

Title

Executive Director

Phone

(989) 772-5930

Specialties & licenses 7

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in MI3 enrollments

Enrollment records 3

Locations

Practitioners 280

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brooke Allen, LBSW, QMRP, QMHP

  • Clinical Social Worker
  • Big Rapids, MI
  • NPI 1932521754
  Medicare reassignment Care Compare group NPD
• Stephani Lou Balavitch, MSW

  • Social Worker
  • Paris, MI
  • NPI 1528429065
  Medicare reassignment Care Compare group NPD
• Emily Elizabeth Barber

  • Professional Counselor
  • Mt Pleasant, MI
  • NPI 1013519800
  Medicare reassignment Care Compare group NPD
• Elizabeth Ann Bauer, LMSW

  • Clinical Social Worker
  • Midland, MI
  • NPI 1376193359
  Medicare reassignment Care Compare group NPD
• Lawrence Raymond Beek III, RN, N.P.

  • Psychiatric/Mental Health Nurse Practitioner
  • Bay City, MI
  • NPI 1780938969
  Medicare reassignment Care Compare group NPD
• Katelyn Campbell

  • Occupational Therapist
  • Mt Pleasant, MI
  • NPI 1447858311
  Medicare reassignment Care Compare group NPD
• Jilian Danitz, D.O.

  • Psychiatry Physician
  • Midland, MI
  • NPI 1790992840
  Medicare reassignment Care Compare group NPD
• Johne L Datema, LMSW

  • Clinical Social Worker
  • Big Rapids, MI
  • NPI 1841757499
  Medicare reassignment Care Compare group NPD
• Jenae Eva Finney, LLMSW

  • Clinical Social Worker
  • Midland, MI
  • NPI 1548761745
  Medicare reassignment Care Compare group NPD
• Cassandra Folsom

  • Professional Counselor
  • Mt Pleasant, MI
  • NPI 1720777238
  Medicare reassignment Care Compare group NPD
• Sara Elisabeth Grahn-Nilsson, LMSW

  • Clinical Social Worker
  • Midland, MI
  • NPI 1669195962
  Medicare reassignment Care Compare group NPD
• Corey William Hartwell, LLMSW

  • Clinical Social Worker
  • Gladwin, MI
  • NPI 1235789223
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682035200000",
    "number": "1881622892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 S CRAPO ST",
            "address_2": "SUITE 100",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488582941",
            "telephone_number": "989-773-6961",
            "fax_number": "989-773-1968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S CRAPO ST",
            "address_2": "SUITE 100",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488582941",
            "telephone_number": "989-773-6961",
            "fax_number": "989-773-1968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY MENTAL HEALTH FOR CENTRAL MICHIGAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-29",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-21",
        "deactivation_date": "2018-11-23",
        "reactivation_date": "2018-11-30",
        "status": "A",
        "authorized_official_last_name": "KROGMAN",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "989-772-5930"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401006136",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301011699",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801084856",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "5101010873",
            "primary": true
        },
        {
            "code": "225XM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704196395",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "750910703",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "774352754",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCLAREN HEALTH PLAN",
            "identifier": "1009798",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "214344340",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shyann Alexis Colton
• Community Mental Health for Central Michigan
• Community Mental Health for Central Michigan
• Community Mental Health for Central Michigan
• Community Mental Health for Central Michigan
• Compassionate Cardiology PC
• Kristine A Cononico, PA
• Cailyn Claire Cook
• Jeffrey Charles Cook, PHARMD
• Penalope D. Cook, D.O.

• Psychiatry Physician in Mt Pleasant, MI
• Providers in Mt Pleasant, MI by specialty
• Psychiatry Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.