NPIMap

Organization Active NPI

Board of Trustees of Michigan State University

  • Community/Behavioral Health Agency
  • East Lansing, MI
National Provider Identifier
1992242267
Registry record updated Jan 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
BOARD OF TRUSTEES OF MICHIGAN STATE UNIVERSITY
Practice address
4930 S Hagadorn Rd
East Lansing, MI 48823-5312
Phone
(517) 355-7661
Fax
(517) 355-3292
NPI assigned
Jan 25, 2017
Last updated
Jan 25, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
BOARD OF TRUSTEES OF MICHIGIAN STATE UNIVERSITYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 25, 2017

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

Authorized official

Name
Jaime Demott
Title
Director
Phone
(517) 355-7661

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

4930 S Hagadorn Rd
East Lansing, MI 48823-5312

Mailing address

4930 S Hagadorn Rd
East Lansing, MI 48823-5312
Phone (517) 355-7661

Other names 1

  • MSU Community Music School Other name

National Provider Directory

National Provider Directory
Tax ID family
Msu Pediatric Associate23 organizations share this tax ID, including this one
Part of
Msu Pediatric Associate

Other organizations with this tax ID 22

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

View all 22

Locations

4930 S Hagadorn Rd
East Lansing, MI 48823
Phone (517) 355-7661

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1485302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485302400000",
    "number": "1992242267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4930 S HAGADORN RD",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488235312",
            "telephone_number": "517-355-7661",
            "fax_number": "517-355-3292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4930 S HAGADORN RD",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488235312",
            "telephone_number": "517-355-7661",
            "fax_number": "517-355-3292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOARD OF TRUSTEES OF MICHIGAN STATE UNIVERSITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BOARD OF TRUSTEES OF MICHIGIAN STATE UNIVERSITY",
        "enumeration_date": "2017-01-25",
        "last_updated": "2017-01-25",
        "status": "A",
        "authorized_official_last_name": "DEMOTT",
        "authorized_official_first_name": "JAIME",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "517-355-7661"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MSU Community Music School",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in East Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.