GENESEE COUNTY COMMUNITY MENTAL HEALTH (NPI# 1912225111) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912225111 |
| 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 OFFICER) |
| Authorized Official Telephone | 8102573707 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TH0100X |
Psychologist Specialization: Health Service |
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 |
| 1821316027 | 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 | 103TH0100X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Health Service |
| A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974). |
| Notes: Source: National Register of Health Service Providers in Psychology website http://www.nationalregister.org/about_NR.html [7/1/2006: modified title, added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184070211 | Tomeca Shamly | Psychologist | 304 W Tobias St, Flint, MI 48503-3975 | 2016-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881230282 | Latice Renee Dowdell | Psychologist | 43828 Medea Dr, Clinton Township, MI 48036-1299 | 2019-11-20 |
| 1770062572 | Letisha Erica Smith | Psychologist | 120 N Washington Sq Ste 307, Lansing, MI 48933-1617 | 2018-08-13 |
| 1174019467 | Christie Ladonna Chandler | Psychologist | 8401 Kennedy Cir Unit 3, Warren, MI 48093-2223 | 2018-07-10 |
| 1225546120 | Tavia Turner | Psychologist | 18758 Florence St, Roseville, MI 48066-4816 | 2018-01-14 |
| 1316490758 | Rosa Maria Thomas | Psychologist | 873 Jordan Ln, Milford, MI 48381-1476 | 2016-08-02 |
| 1851756738 | Jerren Weekes-kanu | Psychologist | 41086 Williamsburg Blvd, Canton, MI 48187-3878 | 2015-12-21 |
| 1376924142 | Lois Jean Webster | Psychologist | 15908 Mansfield St, Detroit, MI 48227-1959 | 2015-06-17 |
| 1962538058 | Charlene Crickon Kushler | Psychologist | 1751 Brookshire Ct, Williamston, MI 48895-9372 | 2007-02-26 |
| 1780757559 | Barbara Hofmann | Psychologist | 650 E Big Beaver Rd Ste A, Troy, MI 48083-1432 | 2006-11-17 |
| 1346333937 | Stanley L. Eden | Psychologist | 514 Juniper Dr., Davison, MI 48423 | 2006-10-02 |
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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.