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VAN BUREN COMMUNITY MENTAL HEALTH AUTHORITY
NPI 1003878554
Psychiatry & Neurology - Psychiatry in Paw Paw, MI

Active since April 03, 2006CLIA 23D2309380 · Waiver
801 HAZEN ST, STE C, PAW PAW, MI 49079(269) 657-5574(269) 657-3474 Get Directions Write a Review

NPPES record last updated: January 31, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Van Buren Community Mental Health Authority NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VAN BUREN COMMUNITY MENTAL HEALTH AUTHORITY (NPI 1003878554) is a healthcare organization registered as a psychiatry in Paw Paw, Michigan and active in the NPI registry since April 2006. The organization holds a CLIA Waiver certificate valid through August 13, 2026 and lists Debra Hess, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1003878554
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameVAN BUREN COMMUNITY MENTAL HEALTH AUTHORITY
Location Address801 HAZEN ST, STE CPaw Paw, MI 49079-0249
Mailing AddressPo Box 249, 801 Hazen St Ste CPaw Paw, MI 49079-0249 · (269) 657-5574 · Fax (269) 657-3474
Phone(269) 657-5574
Fax(269) 657-3474
Organization SubpartNo
Authorized OfficialDebra HessChief Executive Officer · (269) 657-5574
Enumeration DateApril 3, 2006
Last NPPES UpdateJanuary 31, 2008
✔ NPI 1003878554 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
801 HAZEN ST, Paw Paw, MI 49079
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Other Identifiers 3

Medicare PIN0H06340MI
Medicare PIN0H04645MI
Medicare PIN0H06346MI

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D2309380

Van Buren Community Mental Health · Paw Paw, MI
Active · expires Aug 13, 2026
CLIA Number23D2309380
Laboratory TypeComm Mental Health Sud
Certificate Effective DateAugust 14, 2024
Certificate Expiration DateAugust 13, 2026
Laboratory DirectorAmanda Smith
Laboratory Phone(269) 655-3391
Laboratory LocationVan Buren Community Mental Health801 Hazen Street Suite B, Paw Paw, MI 49079
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VAN BURE COMMUNITY MENTAL HEALTH
Community/Behavioral Health
801 HAZEN ST
PAW PAW, MI 49079
Van Buren County (269) 657-5574
ALEXIS KELLY OTR-L
Occupational Therapist
801 HAZEN ST
PAW PAW, MI 49079
Van Buren County (269) 655-3334
JOHN DUDLEY FUSE
Social Worker
801 HAZEN ST
PAW PAW, MI 49079
Van Buren County (269) 657-5574
GEORGETTE PETERSON
Licensed Practical Nurse
801 HAZEN ST
PAW PAW, MI 49079
Van Buren County (269) 655-3334
KELLIE HOLM LMSW
Social Worker (Clinical)
801 HAZEN ST, SUITE C
PAW PAW, MI 49079
Van Buren County (269) 657-5574
MRS. SARAH LYNN GAMBILL LMSW
Social Worker (Clinical)
801 HAZEN ST
PAW PAW, MI 49079
Van Buren County (269) 657-5574
KIMBERLY DUELL RN
Registered Nurse
801 HAZEN ST
PAW PAW, MI 49079
Van Buren County (269) 657-5574
MARY SCHUMAN
Social Worker
801 HAZEN ST
PAW PAW, MI 49079
Van Buren County (269) 657-5574

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Van Buren Community Mental Health Authority's NPI number?

The NPI number for Van Buren Community Mental Health Authority is 1003878554. It was assigned to this organization in the NPPES registry on April 3, 2006.

Where is Van Buren Community Mental Health Authority located?

Van Buren Community Mental Health Authority is located at 801 Hazen St Ste C, Paw Paw, MI 49079. The listed phone number is (269) 657-5574.

What is Van Buren Community Mental Health Authority's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Does Van Buren Community Mental Health Authority hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2309380) is associated with this NPI, valid through August 13, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Van Buren Community Mental Health Authority accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Van Buren Community Mental Health Authority as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Van Buren Community Mental Health Authority was last updated on January 31, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.