Professional Psychiatric and Addiction Services, PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

DF044754 Issued in MI

Legal business name

PROFESSIONAL PSYCHIATRIC AND ADDICTION SERVICES, PLLC

Practice address

690 S Trumbull St
Suite 2
Bay City, MI 48708-7692

Phone

(989) 893-2121

Fax

(989) 893-2177

NPI assigned

Nov 5, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Douglas Leroy Foster, MD

Title

Medical Director

Phone

(989) 893-2121

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Craig Rodney Ford, DMIN, MA

  • Counselor
  • Bay City, MI
  • NPI 1952555856
  NPD (past)

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

{
    "created_epoch": "1257379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257379200000",
    "number": "1982931309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "690 S TRUMBULL ST",
            "address_2": "SUITE 2",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487087692",
            "telephone_number": "989-893-2121",
            "fax_number": "989-893-2177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 S TRUMBULL ST",
            "address_2": "SUITE 2",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487087692",
            "telephone_number": "989-893-2121",
            "fax_number": "989-893-2177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL PSYCHIATRIC AND ADDICTION SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-05",
        "last_updated": "2009-11-05",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "LEROY",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "989-893-2121",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "DF044754",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4318082",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Prime Brothers Mattres & Furniture
• Prime Touch Inc
• Heather Alison Prior, FNP-BC
• Kaylee Lynn Prior
• Professional Psychiatric and Addiction Services, PLLC
• Isaac Tracy Prows, DO
• Katelynn Prudhomme
• Gabrielle Rose Prueter
• Sally Pudvan
• Jordan Rullan Purchase

• Community/Behavioral Health Agency in Bay City, MI
• Providers in Bay City, MI by specialty
• Community/Behavioral Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2009; 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.