NPIMap

Organization Active NPI

Munson Medical Center

  • Psychiatric Hospital Unit
  • Traverse City, MI
National Provider Identifier
1891586103
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
Legal business name
MUNSON MEDICAL CENTER
Practice address
410 Brook St
Traverse City, MI 49684
Phone
(231) 935-5000
NPI assigned
May 15, 2025
Last updated
Sep 11, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

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

Authorized official

Name
Michael Frye
Title
Pres. Ambulatory & Bus. Development
Phone
(704) 458-8010

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X
Psychiatric Hospital Unit 273R00000X Primary

Addresses

Primary practice location

410 Brook St
Traverse City, MI 49684

Mailing address

1105 Sixth St
Traverse City, MI 49684-2345
Phone (231) 935-2401

Other names 1

  • Grand Traverse Mental Health Crisis and Access Center Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040108000904 MI Part B Supplier - Clinic/Group Practice 3072426287 Receives reassigned benefits from 568 practitioners
29 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Manistee, MI; Traverse City, MI; Cadillac, MI; Charlevoix, MI; Cheboygan, MI; Elk Rapids, MI; Frankfort, MI; Gaylord, MI…

Other NPIs on the same Medicare enrollment 29

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

View all 29

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D2324807Grand Traverse Mental Health Crisis and410 Brook Street, Traverse City, MI 49684Certificate of waiverJun 1, 2027

National Provider Directory

National Provider Directory
Tax ID family
Leroy Futterer MD30 organizations share this tax ID, including this one

Other organizations with this tax ID 29

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

View all 29

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

Locations

2291 E M 113
Kingsley, MI 49649
Phone (231) 263-8040

1345 E Parkdale Ave
Manistee, MI 49660
Phone (231) 398-1740

1221 Sixth St
Ste 206
Traverse City, MI 49684
Phone (231) 935-5085

127 S Madison St
Traverse City, MI 49684
Phone (231) 935-0333

315 N Division St
Ste 220
Traverse City, MI 49684
Phone (231) 935-0971

3529 W Front St
Ste A
Traverse City, MI 49684
Phone (231) 935-7548

3643 W Front St
Ste B
Traverse City, MI 49684
Phone (231) 935-0590

410 BRK St
Traverse City, MI 49684
Phone (231) 409-3611

420 Brook St
Traverse City, MI 49684
Phone (231) 213-1050

5041 N Royal Dr
Ste 2
Traverse City, MI 49684
Phone (231) 935-0700

5085 Anna Dr
Ste B
Traverse City, MI 49684
Phone (231) 935-5900

701 W Front St
Ste 200
Traverse City, MI 49684
Phone (231) 346-4000

Practitioners & affiliated clinicians

Practitioners 511

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.

View all 511

NPI Registry JSON

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

{
    "created_epoch": "1747267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789084800000",
    "number": "1891586103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 SIXTH ST",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496842345",
            "telephone_number": "231-935-2401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 BROOK ST",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "49684",
            "telephone_number": "231-935-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUNSON MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-15",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-10",
        "status": "A",
        "authorized_official_last_name": "FRYE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRES. AMBULATORY & BUS. DEVELOPMENT",
        "authorized_official_telephone_number": "704-458-8010"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grand Traverse Mental Health Crisis and Access Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Traverse City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.