PSYCHNORTH NPI 1063887230

NPI Information

  • NPI: 1063887230
  • Provider Name: PSYCHNORTH
  • Classification: Clinic/Center - 261QM0850X
  • Specialization: Adult Mental Health
  • Entity Type: Organization
  • Address: 2202 MITCHELL PARK DR
    STE 5
    PETOSKEY, MI
    ZIP 49770
  • Phone: (231) 348-5018

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NPI Details

PSYCHNORTH is an adult mental health clinic center in Petoskey, MI. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. PSYCHNORTH NPI is 1063887230. The provider is registered as an organization entity type.

The provider's business location address is:

2202 MITCHELL PARK DR
STE 5
PETOSKEY, MI
ZIP 49770-897
Phone: (231) 348-5018
Fax: (844) 711-0200

The provider's authorized official is Jo Ann Haderer .
The authorized official title is Office Manager and has the following contact phone number (231) 348-5018.

The enumeration date for this NPI number is 12/14/2015 and was last updated on 12/14/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0850XClinic/CenterAdult Mental Health4301089286MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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