VAN BUREN COMMUNITY MENTAL HEALTH AUTHORITY NPI 1982916045

NPI Information

NPI: 1982916045
Provider Name: VAN BUREN COMMUNITY MENTAL HEALTH AUTHORITY
Classification: Psychiatry & Neurology - 2084P0804X
Entity Type: Organization

Specialization: Child & Adolescent Psychiatry

Address:
57418 CR 681
SUITE C
HARTFORD, MI
ZIP 49057
Phone: (269) 621-6251
Get Directions

VAN BUREN COMMUNITY MENTAL HEALTH AUTHORITY is a child and adolescent psychiatry psychiatry neurology in Hartford, MI. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. VAN BUREN COMMUNITY MENTAL HEALTH AUTHORITY NPI is 1982916045. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

57418 CR 681
SUITE C
HARTFORD, MI
ZIP 49057
Phone: (269) 621-6251
Fax: (269) 621-6044

The provider's authorized official is Debra L-r Hess .
The authorized official title is C.e.o. and has the following contact phone number (269) 657-5574.

The enumeration date for this NPI number is 7/6/2010 and was last updated on 7/9/2010.

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	Primary
1	101YP2500X	Counselor	Professional	No
2	1041C0700X	Social Worker	Clinical	No
3	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1705298	MEDICAID	MICHIGAN

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: 5/5/2024

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