Organization Active NPI

Behavioral Health Group of Muskegon

  • Clinical Social Worker
  • Muskegon, MI
National Provider Identifier
1902030968
Registry record updated May 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801015842 Issued in MI
Legal business name
BEHAVIORAL HEALTH GROUP OF MUSKEGON
Practice address
84 S Seaway Dr
Muskegon, MI 49444-3841
Phone
(231) 733-9800
Fax
(231) 733-1949
NPI assigned
May 6, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2014

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

Authorized official

Name
Joel Engel
Title
Owner
Phone
(231) 733-9800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 6801015842 MI Primary

Addresses

Primary practice location

84 S Seaway Dr
Muskegon, MI 49444-3841

Mailing address

84 S Seaway Dr
Muskegon, MI 49444-3841
Phone (231) 733-9800

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1241568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400112000000",
    "number": "1902030968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 S SEAWAY DR",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494443841",
            "telephone_number": "231-733-9800",
            "fax_number": "231-733-1949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 S SEAWAY DR",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494443841",
            "telephone_number": "231-733-9800",
            "fax_number": "231-733-1949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIORAL HEALTH GROUP OF MUSKEGON",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-06",
        "last_updated": "2014-05-15",
        "status": "A",
        "authorized_official_last_name": "ENGEL",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "231-733-9800"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801015842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskegon, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2014; 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.