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NORTHERN MICHIGAN CHILDRENS ASSESSMENT CENTER
NPI 1013703958
Clinic/Center - Adolescent and Children Mental Health in Roscommon, MI

Active since April 17, 2025CLIA 23D2173915 · Waiver
112 S 4TH ST, ROSCOMMON, MI 48653(989) 275-7145 Get Directions Write a Review

NPPES record last updated: April 17, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Northern Michigan Childrens Assessment Center NPPES

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

NORTHERN MICHIGAN CHILDRENS ASSESSMENT CENTER (NPI 1013703958) is a healthcare organization registered as an adolescent and children mental health in Roscommon, Michigan and active in the NPI registry since April 2025. The organization holds a CLIA Waiver certificate valid through October 21, 2027 and lists Rebecca Yuncker, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1013703958
Entity TypeOrganization
Primary Taxonomy261QM0855X
Legal Business NameNORTHERN MICHIGAN CHILDRENS ASSESSMENT CENTER
Location Address112 S 4TH STRoscommon, MI 48653-8904
Mailing AddressPo Box 887Roscommon, MI 48653-0887
Phone(989) 275-7145
Organization SubpartNo
Authorized OfficialRebecca YunckerExecutive Director · (989) 275-7143
Enumeration DateApril 17, 2025
NPPES CertifiedApril 17, 2025
✔ NPI 1013703958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0855X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
112 S 4TH ST, Roscommon, MI 48653
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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 23D2173915

Northern Michigan Children's Assessment Center · Roscommon, MI
Active · expires Oct 21, 2027
CLIA Number23D2173915
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateOctober 22, 2025
Certificate Expiration DateOctober 21, 2027
Laboratory DirectorLyndsy J. Mcmorrow
Laboratory Phone(989) 422-5122
Laboratory LocationNorthern Michigan Children's Assessment Center112 S 4th St Ste Medical, Roscommon, MI 48653
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

MIDMICHIGAN HEALTH SERVICES
Clinic/Center (Federally Qualified Health Center (FQHC))
112 S 4TH ST, STE MEDICAL
ROSCOMMON, MI 48653
Roscommon County (989) 422-5122
REBECCA SUE YUNCKER
Counselor (Mental Health)
112 S 4TH ST
ROSCOMMON, MI 48653
Roscommon County (989) 275-7145
ROBERT NIXON
Social Worker
112 S 4TH ST
ROSCOMMON, MI 48653
Roscommon County (989) 275-7151
KADIE SMITH
Social Worker
112 S 4TH ST
ROSCOMMON, MI 48653
Roscommon County (989) 275-7145

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 Northern Michigan Childrens Assessment Center's NPI number?

The NPI number for Northern Michigan Childrens Assessment Center is 1013703958. It was assigned to this organization in the NPPES registry on April 17, 2025.

Where is Northern Michigan Childrens Assessment Center located?

Northern Michigan Childrens Assessment Center is located at 112 S 4th St, Roscommon, MI 48653. The listed phone number is (989) 275-7145.

What is Northern Michigan Childrens Assessment Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

Does Northern Michigan Childrens Assessment Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2173915) is associated with this NPI, valid through October 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Northern Michigan Childrens Assessment Center was last updated on April 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.