NPIMap

Organization Active NPI

Monarch Behavioral Services, LLC

  • Clinical Social Worker
  • Oscoda, MI
National Provider Identifier
1972023562
Registry record updated Jun 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801091842 Issued in MI
Legal business name
MONARCH BEHAVIORAL SERVICES, LLC
Practice address
111 E Dwight St Ste 1
Oscoda, MI 48750-1638
Phone
(989) 305-1932
NPI assigned
Jun 23, 2017
Organization subpart
No

Practitioners 1

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

National Provider Directory

National Provider Directory

Locations

111 E Dwight St
Ste 1
Oscoda, MI 48750
Phone (989) 305-1932

NPPES NPI Registry

Updated by the provider on Jun 23, 2017

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

Authorized official

Name
Trudi Marsh, MSW, LMSWNPI 1386957355
Title
Therapist/Owner
Phone
(989) 305-1932

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 6801091842 MI Primary

Addresses

Primary practice location

111 E Dwight St Ste 1
Oscoda, MI 48750-1638

Mailing address

5245 Hughes St
Oscoda, MI 48750-1508

Other identifiers 1

IdentifierTypeStateIssuer
1386957355MedicaidMI

NPI Registry JSON

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

{
    "created_epoch": "1498176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498176000000",
    "number": "1972023562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5245 HUGHES ST",
            "city": "OSCODA",
            "state": "MI",
            "postal_code": "487501508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E DWIGHT ST STE 1",
            "city": "OSCODA",
            "state": "MI",
            "postal_code": "487501638",
            "telephone_number": "989-305-1932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONARCH BEHAVIORAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-23",
        "last_updated": "2017-06-23",
        "status": "A",
        "authorized_official_last_name": "MARSH",
        "authorized_official_first_name": "TRUDI",
        "authorized_official_title_or_position": "THERAPIST/OWNER",
        "authorized_official_telephone_number": "989-305-1932",
        "authorized_official_credential": "MSW, LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801091842",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1386957355",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oscoda, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2017; 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.