GENESEE COUNTY COMMUNITY MENTAL HEALTH (NPI# 1821316027) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821316027 |
| Entity Type | Organization |
| Organization Name | GENESEE COUNTY COMMUNITY MENTAL HEALTH |
| Practice Address |
420 W 5th Ave Flint MI 48503-2445 |
| Mailing Address |
725 Mason St Flint MI 48503-2421 |
| Practice Telephone | 8102573736 |
| Mailing Telephone | 8102573736 |
| Enumeration Date | 2010-05-12 |
| Last Update Date | 2010-05-12 |
| Authorized Official Name | DANIS RUSSELL (CHIEF EXECUTIVE OFFICE) |
| Authorized Official Telephone | 8102573707 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TM1800X |
Psychologist Specialization: Mental Retardation & Developmental Disabilities |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 774350384 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285781732 | Genesee County Community Mental Health | Case Management | 705 S Dort Hwy, Flint, MI 48503-2852 | 2007-01-05 |
| 1750656179 | Genesee County Community Mental Health | Case Management | 420 W Fifth Avenue, Flint, MI 48503-2445 | 2012-03-19 |
| 1184995789 | Genesee County Community Mental Health | Case Management | 725 Mason St, Flint, MI 48503-2421 | 2012-01-13 |
| 1538459326 | Genesee County Community Mental Health | Preferred Provider Organization | 420 W 5th Ave, Flint, MI 48503-2445 | 2011-04-13 |
| 1659674059 | Genesee County Community Mental Health | Psychologist | 420 W 5th Ave, Flint, MI 48503-2445 | 2010-12-08 |
| 1528369865 | Genesee County Community Mental Health | Community/Behavioral Health | 1102 Mackin Rd, Flint, MI 48503-1204 | 2010-11-03 |
| 1912225111 | Genesee County Community Mental Health | Psychologist | 420 W 5th Ave, Flint, MI 48503-2445 | 2010-05-12 |
| 1437208626 | Genesee County Community Mental Health | Community/Behavioral Health | 420 W 5th Ave, Flint, MI 48503-2445 | 2007-01-09 |
| 1619026077 | Genesee County Community Mental Health | Community/Behavioral Health | 420 W 5th Ave, Flint, MI 48503-2445 | 2007-01-08 |
| 1609924992 | Genesee County Community Mental Health | Case Management | 420 W 5th Ave, Flint, MI 48503-2445 | 2007-01-05 |
| Street Address |
420 W 5TH AVE |
| City | FLINT |
| State | MI |
| Zip Code | 48503-2445 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235115460 | County of Genesee Office of Controller | Preventive Medicine | 420 W 5th Ave, Flint, MI 48503 | 2005-12-20 |
| 1245837640 | Angela Marie Strom | Registered Nurse | 420 W 5th Ave, Flint, MI 48503-2445 | 2020-10-08 |
| 1841897246 | Avalena Ann Lessard | Case Manager/Care Coordinator | 420 W 5th Ave, Flint, MI 48503-2445 | 2020-10-08 |
| 1891309258 | Dawn Michelle Smith | Social Worker | 420 W 5th Ave, Flint, MI 48503-2445 | 2020-09-03 |
| 1881203834 | Teevia C Brown | Psychologist | 420 W 5th Ave, Flint, MI 48503-2445 | 2020-07-27 |
| 1811515018 | Tashara Monique Ewing | Case Manager/Care Coordinator | 420 W 5th Ave, Flint, MI 48503-2445 | 2020-07-14 |
| 1265053508 | Kaleea Preuss-harper | Case Manager/Care Coordinator | 420 W 5th Ave, Flint, MI 48503-2445 | 2020-04-28 |
| 1285269969 | Richard L Neenan IIi | Case Manager/Care Coordinator | 420 W 5th Ave, Flint, MI 48503-2445 | 2020-03-03 |
| 1518590405 | Erik Kahn | Case Manager/Care Coordinator | 420 W 5th Ave, Flint, MI 48503-2445 | 2020-02-19 |
| 1346870961 | Lanora Cooper | Case Manager/Care Coordinator | 420 W 5th Ave, Flint, MI 48503-2445 | 2020-01-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457971640 | Flint Odyssey House Inc. | Community/Behavioral Health | 1219 Martin Luther King Avenue, Flint, MI 48503 | 2020-04-17 |
| 1891265476 | Mary Margaret Woodruff | Health Educator | 411 E. Third St Suite 2, Flint, MI 48503 | 2018-11-27 |
| 1669942223 | Donna Jean Phelps | Behavior Technician | 2284 S Ballenger Highway, Flint, MI 48503 | 2018-11-27 |
| 1588150601 | Dayonna Scott | Social Worker | Hope Network, 2830 Corunna Rd, Flint, MI 48503 | 2018-07-02 |
| 1801388020 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2284 S Ballenger Hwy Ste F, Flint, MI 48503 | 2018-06-04 |
| 1134610504 | Swathi Gorle | Student in an Organized Health Care Education/Training Program | Hurley Medical Center, 1 Hurley Plaza, Flint, MI 48503 | 2018-05-22 |
| 1881128049 | Kara Garr | Registered Nurse | 805 Tuuri Pl, Flint, MI 48503 | 2017-04-14 |
| 1518405638 | Thomasinia Terrell | Peer Specialist | 422 W Fourth Ave, Flint, MI 48503 | 2017-02-09 |
| 1790231041 | Roslyn Boyce | Technician, Other | 2213 E. Court Street, Flint, MI 48503 | 2016-08-28 |
| 1689120818 | Yasmine Elhefnawy | Student in an Organized Health Care Education/Training Program | One Hurley Plaza 3d West, Flint, MI 48503 | 2016-08-28 |
| Find all providers in zip 48503 | ||||
| Taxonomy Code | 103TM1800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Mental Retardation & Developmental Disabilities |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053864942 | Ty'teana Thomas | Psychologist | 1110 Eldon Baker Dr, Flint, MI 48507-1923 | 2016-07-27 |
| 1841640869 | Tara Lashunda Maynie | Psychologist | 1110 Eldon Baker Dr, Newhope, Flint, MI 48507 | 2016-06-21 |
| 1295070456 | Genesee Health System | Psychologist | 806 Tuuri Pl, Flint, MI 48503-2465 | 2012-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396363933 | Parents Zone, LLC | Psychologist | 23481 Seneca Street, Oak Park, MI 48237-2245 | 2020-07-09 |
| 1447802111 | Natalia Viera-vanarkel | Psychologist | 3017 Plainfield Ave Ne, Grand Rapids, MI 49505-3258 | 2019-07-12 |
| 1477092054 | Jeremy Ladronka | Psychologist | 640 Seminole Rd, Norton Shores, MI 49441-4720 | 2017-02-16 |
| 1164965877 | Amy Breckon | Psychologist | 8201 Anglers Ln, Hudsonville, MI 49426-8641 | 2016-11-29 |
| 1356746879 | Abby Grant | Psychologist | 146 W 23rd St, Holland, MI 49423-4709 | 2014-10-27 |
| 1497179170 | Detroit Wayne Mental Health Authority | Psychologist | 707 W. Milwaukee, 3rd Floor Finance, Detroit, MI 48202-2599 | 2014-02-14 |
| 1053735498 | Amary Lehto | Psychologist | 649 E Boston Blvd, Detroit, MI 48202-1322 | 2014-02-05 |
| 1750713210 | Janet Irene Mcalpine | Psychologist | 21650 Behrendt Ave, Warren, MI 48091-2781 | 2013-08-06 |
| 1114365277 | Angela Nicole Oshkaloff | Psychologist | 6594 Perryville Rd, Holly, MI 48442-9499 | 2013-06-11 |
| 1750641452 | Spencer Manor Living Well | Psychologist | 2219 S Term St, Burton, MI 48519-1030 | 2012-05-29 |
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| 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.