SOUTHWEST MICHIGAN BEHAVIORAL HEALTH


Address: 5250 Lovers Ln Ste 200, Portage, MI 49002-1579
Phone: 8006760423

SOUTHWEST MICHIGAN BEHAVIORAL HEALTH (NPI# 1063944585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063944585
Entity Type Organization
Organization Name SOUTHWEST MICHIGAN BEHAVIORAL HEALTH
Practice Address 5250 Lovers Ln Ste 200
Portage
MI 49002-1579
Practice Telephone 8006760423
Enumeration Date 2017-04-03
Last Update Date 2017-04-03
Authorized Official Name MS. ANNE WICKHAM (DIRECTOR OF OPERATIONS)
Authorized Official Telephone 2694886982
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health Agencies

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1871923268 Southwest Michigan Behavioral Health Community/Behavioral Health 5250 Lovers Ln Ste 200, Portage, MI 49002-1579 2013-11-21

Office Location

Street Address 5250 LOVERS LN STE 200
City PORTAGE
State MI
Zip Code 49002-1579

Providers in the same location

NPI Name Taxonomy Address Enumeration
1154758787 Obioha Collins Unaeze Counselor 5250 Lovers Ln Ste 200, Portage, MI 49002-1579 2013-09-27
1508322983 Amy Cresentia Mrazek Social Worker 5250 Lovers Ln Ste 200, Portage, MI 49002-1579 2019-02-11
1871923268 Southwest Michigan Behavioral Health Community/Behavioral Health 5250 Lovers Ln Ste 200, Portage, MI 49002-1579 2013-11-21

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1932604204 Susan Vandewalker Physical Therapist 8001 Angling Rd., Portage, MI 49002 2018-03-28
1134634934 Portage Chiropractic and Wellness Center Chiropractor 609 E. Centre, Portage, MI 49002 2017-12-04
1548620537 Patricia Eid Behavioral Analyst 1016 E Milham Ave, Suite 2, Portage, MI 49002 2016-03-03
1386045383 Pinnacle Senior Care of Kalamazoo, LLC Home Health 2725 Airview Blvd Ste 105b, Portage, MI 49002 2014-09-09
1104241611 Meredith Ayers Holland Behavioral Analyst 9616 Portage Road, Portage, MI 49002 2014-02-20
1619211919 Daketia L Thomas Massage Therapist 8314 Portage Rd, Suite D, Kalamazoo, MI 49002 2012-11-27
1831457142 Kinetic Kids, LLC Occupational Therapist 540 East Milham, Portage, MI 49002 2012-04-25
1154689404 Lauren Michelle Mattaliano Occupational Therapist 540 E. Milham Road, Portage, MI 49002 2012-04-24
1114219227 South Michigan Psychiatric Services LLC Psychiatry & Neurology 5390 Lovers Ln, Third Floor, Portage, MI 49002 2011-05-07
1174836316 Premier Neuropsychiatry Plc Psychiatry & Neurology 5930 Lovers Lane, Portage, MI 49002 2010-07-16
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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1679127989 Alternative Community Resource Program, Inc. Community/Behavioral Health 800 High Street, Portage, PA 15946 2019-07-25
1649824947 Alternative Community Resource Program, Inc. Community/Behavioral Health 700 Meade Street, Portage, PA 15946 2019-07-25
1285174912 Vav Operations Mi, LLC Community/Behavioral Health 2314 Helen Ave Ste 200, Portage, MI 49002-1684 2017-02-28
1720415615 Covenant Senior Day Program Community/Behavioral Health 7211 Oakland Dr, Portage, MI 49024-4151 2013-10-09
1083980551 Mary Lucille Stoddard Community/Behavioral Health 745 Alfa Ct Apt 1a, Portage, MI 49002-2979 2012-03-28
1790059111 Arcadia Center for Occupational Therapy, LLC Community/Behavioral Health 8120 Moorsbridge Rd, Suite D, Portage, MI 49024-7414 2012-03-02
1942593744 Shamika Hall, Ph.d. & Associates, Pllc Community/Behavioral Health 7901 S. 12th St., Suite 201, Portage, MI 49024 2011-05-26
1124356092 Novel Responses, Inc. Community/Behavioral Health 526 West Centre Ave., Portage, MI 49024 2009-12-03
1568500023 Gfm The Synergy Center Community/Behavioral Health 5805 Oakland Dr, Portage, MI 49024-1118 2007-02-04
1598858409 Ces Consultation, P.C. Community/Behavioral Health 7320 Garden Ln, Suite 110, Portage, MI 49002-4423 2006-10-02
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Competitor

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City PORTAGE
Zip Code 49002

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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