NPIMap

Organization Active NPI

Green Castle Recovery Centers, LLC.

  • Psychiatry Physician
  • Marne, MI
National Provider Identifier
1891367199
Registry record updated Dec 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
GREEN CASTLE RECOVERY CENTERS, LLC.
Practice address
15146 16TH Ave
Marne, MI 49435-9605
Phone
(844) 776-9651
NPI assigned
Jul 15, 2021
Organization subpart
Yes
Parent organization
GREEN CASTLE RECOVERY CENTERS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 30, 2025

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

Authorized official

Name
Alec Green
Title
Director of Operations
Phone
(616) 288-6970

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133V00000X
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary
Child & Adolescent Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0804X

Addresses

Primary practice location

15146 16TH Ave
Marne, MI 49435-9605

Mailing address

15146 16TH Ave
Marne, MI 49435-9605
Phone (844) 776-9651

Other names 2

  • Sanford Comprehensive Treatment Eating Disorders Doing business as
  • Sanford Comprehensive Treatment for Mental Health and Eating Disorders Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Green Castle Recovery Centers LLC2 organizations share this tax ID, including this one
Part of
Green Castle Recovery Centers LLC

Other organizations with this tax ID 1

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

Locations

74 Lafayette Ave NE
Grand Rapids, MI 49503

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 11

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

NPI Registry JSON

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

{
    "created_epoch": "1626307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767052800000",
    "number": "1891367199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15146 16TH AVE",
            "city": "MARNE",
            "state": "MI",
            "postal_code": "494359605",
            "telephone_number": "844-776-9651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15146 16TH AVE",
            "city": "MARNE",
            "state": "MI",
            "postal_code": "494359605",
            "telephone_number": "844-776-9651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN CASTLE RECOVERY CENTERS, LLC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GREEN CASTLE RECOVERY CENTERS LLC",
        "enumeration_date": "2021-07-15",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "ALEC",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "616-288-6970"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sanford Comprehensive Treatment Eating Disorders",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sanford Comprehensive Treatment Eating Disorders",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sanford Comprehensive Treatment for Mental Health and Eating Disorders",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marne, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2025; 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.