The Orellana Insititute PC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

EO045303 Issued in MI

Legal business name

THE ORELLANA INSITITUTE PC

Practice address

832 Forest Hill Ave SE
Grand Rapids, MI 49546-2326

Phone

(616) 940-9001

Fax

(616) 940-7355

NPI assigned

Apr 3, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Elbin Alfredo Orellana Sr., MDNPI 1609997618

Title

President

Phone

(616) 940-9001

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• THE ORELLANA INSTITUTE PC Doing business as

Locations

Practitioners 2

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

• Elbin Alfredo Orellana Sr., M.D.

  • Behavioral Neurology & Neuropsychiatry Physician
  • Las Cruces, NM
  • NPI 1609997618
  NPD (past) Authorized official
• Carol Ann Johnson, SOCIAL WORKER

  • Mental Health Counselor
  • Grand Rapids, MI
  • NPI 1780705442
  NPD (past)

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1922120955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "832 FOREST HILL AVE SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495462326",
            "telephone_number": "616-940-9001",
            "fax_number": "616-940-7355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "832 FOREST HILL AVE SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495462326",
            "telephone_number": "616-940-9001",
            "fax_number": "616-940-7355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ORELLANA INSITITUTE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "ORELLANA",
        "authorized_official_first_name": "ELBIN",
        "authorized_official_middle_name": "ALFREDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "616-940-9001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "EO045303",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101761232",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "260D110460",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE ORELLANA INSTITUTE PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mental Health Counselor in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.