COMMUNITY MENTAL HEALTH SERVICES OF ST JOSEPH COUNTY
NPI 1104715036
Community/Behavioral Health in Centreville, MI

NPI Status: Active since July 03, 2025

Contact Information

677 E MAIN ST STE A
CENTREVILLE, MI
ZIP 49032
Phone: (269) 467-1000

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  • Organization
  • Community/Behavioral Health

About COMMUNITY MENTAL HEALTH SERVICES OF ST JOSEPH COUNTY

This page provides the complete NPI Profile along with additional information for Community Mental Health Services Of St Joseph County, a provider established in Centreville, Michigan operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1104715036 assigned on July 2025. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Cameron Edward Brewster Bullock (Chief Executive Officer)

NPI
1104715036
Provider Name
COMMUNITY MENTAL HEALTH SERVICES OF ST JOSEPH COUNTY
Entity Type
Organization
Location Address
677 E MAIN ST STE A CENTREVILLE, MI 49032
Location Phone
(269) 467-1000
Mailing Address
677 E MAIN ST STE A CENTREVILLE, MI 49032
Mailing Phone
(269) 467-1000
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
07-03-2025
Last Update Date
07-03-2025
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Location Map

Secondary Locations

  • 1555 E Chicago Rd Ste A
    Sturgis, MI 49091
    (269) 467-1904
  • 1020 Millard St
    Three Rivers, MI 49093
    (269) 467-1903

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
Taxonomy Description
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CAMERON EDWARD BREWSTER BULLOCK

Authorized Official Title
CHIEF EXECUTIVE OFFICER
Authorized Official Phone
(269) 467-1001

Reviews for COMMUNITY MENTAL HEALTH SERVICES OF ST JOSEPH COUNTY

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1104715036, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 44. The final step is to find the difference between that total and the next multiple of ten (50 - 44 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
0
Doubled → 0
Pos 4
4
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
1
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
0
Unchanged
Pos 9
3
Doubled → 6
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 7 → 14 → 5 5 → 10 → 1 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 0 + 4 + 1 + 4 + 1 + 1 + 0 + 0 + 6 + 24 = 44

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 44 is 50. The difference is the calculated check digit.

50 - 44 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1104715036.

Other Providers at the Same Location


The following 18 providers are registered at the same or a nearby location.

Counselor (Mental Health)
677 E MAIN ST STE A
CENTREVILLE, MI 49032
Social Worker
677 E MAIN ST STE A
CENTREVILLE, MI 49032
Peer Specialist
677 E MAIN ST STE A
CENTREVILLE, MI 49032
Peer Specialist
677 E MAIN ST STE A
CENTREVILLE, MI 49032
Peer Specialist
677 E MAIN ST STE A
CENTREVILLE, MI 49032
Community Health Worker
677 E MAIN ST STE A
CENTREVILLE, MI 49032
Peer Specialist
677 E MAIN ST STE A
CENTREVILLE, MI 49032
Peer Specialist
677 E MAIN ST STE A
CENTREVILLE, MI 49032
Community Health Worker
677 E MAIN ST STE A
CENTREVILLE, MI 49032
Social Worker (Clinical)
677 E MAIN ST STE A
CENTREVILLE, MI 49032
Case Manager/Care Coordinator
677 E MAIN ST STE A
CENTREVILLE, MI 49032
Peer Specialist
677 E MAIN ST STE A
CENTREVILLE, MI 49032
Case Manager/Care Coordinator
677 E MAIN ST STE A
CENTREVILLE, MI 49032
Social Worker (Clinical)
677 E MAIN ST STE A
CENTREVILLE, MI 49032
Social Worker (Clinical)
677 E MAIN ST STE A
CENTREVILLE, MI 49032
Social Worker (Clinical)
677 E MAIN ST STE A
CENTREVILLE, MI 49032
Social Worker (Clinical)
677 E MAIN ST STE A
CENTREVILLE, MI 49032
Community/Behavioral Health
677 E MAIN ST STE A
CENTREVILLE, MI 49032

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104715036, enumerated as an "organization" on July 03, 2025.

The provider is located at 677 E MAIN ST STE A CENTREVILLE, MI 49032 and the phone number is (269) 467-1000.

Community/Behavioral Health with taxonomy code 251S00000X.