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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251S00000X | Community/Behavioral Health | Agencies |
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 |
Street Address |
5250 LOVERS LN STE 200 |
City | PORTAGE |
State | MI |
Zip Code | 49002-1579 |
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 |
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 |
Find all providers in zip 49002 |
Taxonomy Code | 251S00000X |
Grouping | Agencies |
Classification | Community/Behavioral Health |
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] |
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 |
Find all providers in PORTAGE |
Please comment or provide details below to improve the information on SOUTHWEST MICHIGAN BEHAVIORAL HEALTH.
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.