PSYCHNORTH
NPI 1063887230
Clinic/Center - Adult Mental Health in Petoskey, MI

Active since December 14, 2015
2202 MITCHELL PARK DR, STE 5, PETOSKEY, MI 49770(231) 348-5018(844) 711-0200 Get Directions Write a Review

NPPES record last updated: December 14, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Psychnorth NPPES

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

PSYCHNORTH (NPI 1063887230) is a healthcare organization registered as an adult mental health in Petoskey, Michigan and active in the NPI registry since December 2015. The organization lists Jo Ann Haderer, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1063887230
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NamePSYCHNORTH
Location Address2202 MITCHELL PARK DR, STE 5Petoskey, MI 49770-8897
Mailing Address2202 Mitchell Park Dr, 5Petoskey, MI 49770-8897 · (231) 348-5018 · Fax (844) 711-0200
Fax(844) 711-0200
Organization SubpartNo
Authorized OfficialJo Ann HadererOffice Manager · (231) 348-5018
Enumeration DateDecember 14, 2015
✔ NPI 1063887230 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
License✔ Licensed in MI · 4301089286
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
2202 MITCHELL PARK DR, Petoskey, MI 49770

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Psychnorth is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Psychnorth, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Nurse Practitioner
NPI 1508295908
2202 MITCHELL PARK DR UNIT 5
Petoskey, MI 49770
(231) 348-5018
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1609114768
2202 MITCHELL PARK DR STE 5
Petoskey, MI 49770
(231) 348-5018
✔ PECOS✔ Accepts Medicare0.1 mi
Psychiatry
NPI 1285674028
2206 MITCHELL PARK DR STE 10
Petoskey, MI 49770
(231) 487-2415
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1477746196
1185 US HIGHWAY 23 N
Alpena, MI 49707
(989) 736-8157
✔ PECOS75 mi
Nurse Practitioner
NPI 1013447168
675 WAGNER DR
Battle Creek, MI 49017
(269) 969-6244
✔ PECOS✔ Accepts Medicare211 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Psychnorth's NPI number?

The NPI number for Psychnorth is 1063887230. It was assigned to this organization in the NPPES registry on December 14, 2015.

Where is Psychnorth located?

Psychnorth is located at 2202 Mitchell Park Dr Ste 5, Petoskey, MI 49770. The listed phone number is (231) 348-5018.

What is Psychnorth's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

Is Psychnorth enrolled in Medicare?

Yes. Psychnorth is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Psychnorth?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Psychnorth. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (4) and Psychiatry (1). Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Psychnorth accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Psychnorth 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 Psychnorth was last updated on December 14, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.