McLaren Bay Region
Organization Active NPI Psychiatry Physician · Bay City, MI
NPI 1942560339 · NPPES record last updated Aug 8, 2018
Key facts
- NPI
- 1942560339
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatry Physician 2084P0800X
- Legal business name
- MCLAREN BAY REGION
- Practice address
- 690 S Trumbull St
Bay City, MI 48708 - Phone
- (989) 922-4900
- NPI assigned
- May 21, 2012
- Organization subpart
- No
Authorized official
- Name
- Danielle C Jacks Porter
- Title
- Cfo
- Phone
- (989) 894-3838
Other NPIs on the same Medicare enrollment 1
Other NPIs with the same Medicare PAC ID 4
Practitioners 249
-
Ryan Cox, M.D.
-
Anne Mangalindan Tadeo, M.D.
-
Michael Abdul-Malek, D.O.
-
Jonathan D Abramson, M. D.
-
Gassan Alaouie, DO
-
Yousef Bader, MD
-
Janice Elaine Baker, NURSE PRACTITIONER
-
Michael Bedell, PA
-
Cristian D. Boboc, M.D.
-
Taylor Ann Brenz, PA-C
-
Jordyn Lindsey Brown, PA-C
-
Joshua Christy, MD
-
Matthew Lawrence D'John, M.D.
-
Bassam J Daghman, M.D.
-
Olivia R Drier, PA-C
-
Melissa Duchene, FNP-BC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040416000730 | MI | Part B Supplier - Clinic/Group Practice | 5597659011 |
Receives reassigned benefits from 5 practitioners 1 other NPI on this enrollment Practice locations: Bay City, MI; Essexville, MI |
National Provider Directory
Locations
4 Columbus Ave
Ste 310
Bay City, MI 48708
Phone (989) 377-4570
615 S Euclid Ave
Bay City, MI 48706
Phone (989) 671-9930
1900 Columbus Ave
Fl 4
Bay City, MI 48708
Phone (231) 878-0361
4 Columbus Ave
Ste 140
Bay City, MI 48708
Phone (989) 377-4550
601 Mulholland St
Bay City, MI 48708
Phone (989) 891-9900
690 S Trumbull St
Bay City, MI 48708
Phone (989) 922-4900
1900 Columbus Ave
#4
Bay City, MI 48708
3250 E Midland Rd
Ste 3
Bay City, MI 48706
Phone (989) 667-6231
3175 Professional Ct
Ste 5
Bay City, MI 48706
Phone (989) 667-6349
3250 E Midland Rd
Ste 2
Bay City, MI 48706
Phone (989) 667-2871
3175 Professional Ct
Ste 4
Bay City, MI 48706
Phone (989) 393-2895
4175 N Euclid Ave
Ste 6
Bay City, MI 48706
Phone (989) 667-3646
400 S Trumbull St
Bay City, MI 48708
Phone (989) 894-9528
1458 W Center Rd
Ste 1
Essexville, MI 48732
Phone (989) 895-4625
1458 W Center Rd
Essexville, MI 48732
Phone (989) 895-4625
801 Joe Mann Blvd
Ste J
Midland, MI 48642
Phone (989) 794-5405
111 E Wackerly St
Midland, MI 48642
Phone (989) 486-9090
801 Joe Mann Blvd
Ste G
Midland, MI 48642
Phone (989) 794-4035
4293 N Huron Rd
Ste 2
Pinconning, MI 48650
Phone (989) 879-5500
4489 M 61
Standish, MI 48658
Phone (989) 846-2600
1020 W Cedar St
Standish, MI 48658
Phone (989) 686-8100
2110 S M 76
Ste 2
West Branch, MI 48661
Phone (989) 516-5078
2110 S M 76
Ste 4
West Branch, MI 48661
Phone (989) 516-5085
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist |
103T00000X | |||
| Clinical Social Worker |
1041C0700X | |||
| Marriage & Family Therapist |
106H00000X | |||
| Psychiatry Physician |
2084P0800X | Yes |
Addresses
Primary practice location
690 S Trumbull St
Bay City, MI 48708
Mailing address
690 S Trumbull St
Bay City, MI 48708-7692
Phone (989) 922-4900
Other providers in Bay City, MI
- McLaren Bay Region
- McLaren Bay Region
- McLaren Bay Region
- McLaren Bay Region
- McLaren Bay Region
- McLaren Bay Special Care
- McLaren Health Management Group
- McLaren Medical Group
- McLaren Medical Group
- Dakota McLean
All providers in Bay City, MI · Psychiatry Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 8, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.