NPIMap

Organization Active NPI

Heartland Center for Autism

  • Psychiatric Residential Treatment Facility
  • Okemos, MI
National Provider Identifier
1972210888
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
Legal business name
HEARTLAND CENTER FOR AUTISM
Practice address
1909 Tahoe Cir
Okemos, MI 48864-2770
Phone
(616) 272-6171
NPI assigned
Oct 31, 2022
Organization subpart
Yes
Parent organization
HEARTLAND CENTER FOR AUTISMAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

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

Authorized official

Name
Alex Fedorowych
Title
Ceo
Phone
(616) 272-6171

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X
Psychiatric Residential Treatment Facility 323P00000X Primary

Addresses

Primary practice location

1909 Tahoe Cir
Okemos, MI 48864-2770

Mailing address

7155 W Hidden LK
Perry, MI 48872-8152
Phone (616) 272-6171

Other practice location 1

1820 Eastern Ave SE
Grand Rapids, MI 49507-2772
Phone (877) 992-8847

National Provider Directory

National Provider Directory
Tax ID family
Heartland Center for Autism2 organizations share this tax ID, including this one
Part of
Heartland Center for Autism

Other organizations with this tax ID 1

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 12

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": "1667174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749427200000",
    "number": "1972210888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7155 W HIDDEN LK",
            "city": "PERRY",
            "state": "MI",
            "postal_code": "488728152",
            "telephone_number": "616-272-6171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1909 TAHOE CIR",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488642770",
            "telephone_number": "616-272-6171"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1820 Eastern Ave SE",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495072772",
            "country_code": "US",
            "telephone_number": "877-992-8847",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HEARTLAND CENTER FOR AUTISM",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEARTLAND CENTER FOR AUTISM",
        "enumeration_date": "2022-10-31",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A",
        "authorized_official_last_name": "FEDOROWYCH",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "616-272-6171"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Okemos, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2025; 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.