Organization Active NPI

Summit Pointe

Doing business as Behavioral Health Resources

  • Community/Behavioral Health Agency
  • Battle Creek, MI
National Provider Identifier
1881823722
Registry record updated Feb 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SUMMIT POINTE
Doing business as
Behavioral Health Resources
Practice address
3630 Capital Ave SW
Ste 1
Battle Creek, MI 49015-7375
Phone
(269) 979-8333
Fax
(269) 979-7766
NPI assigned
Jul 14, 2009
Last updated
Feb 11, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2016

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

Authorized official

Name
Jeannie Goodrich
Title
Ceo
Phone
(269) 966-1460

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 4301061377 MI
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 4301048453 MI
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 4301059007 MI
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X 5101011574 MI
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X 4301045320 MI
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X 4301046629 MI
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X 4301058702 MI
Community/Behavioral Health Agency 251S00000X MI Primary

Addresses

Primary practice location

3630 Capital Ave SW
Ste 1
Battle Creek, MI 49015-7375

Mailing address

3630 Capital Ave SW
Ste 1
Battle Creek, MI 49015-7375
Phone (269) 979-8333

Other identifiers 2

IdentifierTypeStateIssuer
0M43520OtherMIMEDICARE
0A30027OtherMIBCBS OF MICHIGAN

Other names 1

  • Behavioral Health Resources Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20040228000492 MI Part B Supplier - Clinic/Group Practice 4587551189 Receives reassigned benefits from 25 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Battle Creek, MI
O20040303000215 MI Part B Supplier - Clinic/Group Practice 4587551189 Receives reassigned benefits from 17 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Albion, MI; Battle Creek, MI
O20040727000123 MI Part B Supplier - Clinic/Group Practice 4587551189 Receives reassigned benefits from 6 practitioners
1 other NPI on this enrollment
Practice locations: Battle Creek, MI

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

3630 Capital Ave SW
Ste 1
Battle Creek, MI 49015
Phone (269) 979-8333

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1247529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455148800000",
    "number": "1881823722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3630 CAPITAL AVE SW",
            "address_2": "STE 1",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490157375",
            "telephone_number": "269-979-8333",
            "fax_number": "269-979-7766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3630 CAPITAL AVE SW",
            "address_2": "STE 1",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490157375",
            "telephone_number": "269-979-8333",
            "fax_number": "269-979-7766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT POINTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-14",
        "last_updated": "2016-02-11",
        "status": "A",
        "authorized_official_last_name": "GOODRICH",
        "authorized_official_first_name": "JEANNIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "269-966-1460"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301061377",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301048453",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301059007",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "5101011574",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301045320",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301046629",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301058702",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "0M43520",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MICHIGAN",
            "identifier": "0A30027",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Behavioral Health Resources",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Battle Creek, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2016; 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.