MS. MARYELLEN BERTHIAUME REGISTERED NURSE
NPI 1700399375
Registered Nurse - Psychiatric/Mental Health, Adult in Lincoln Park, MI

Q: What is Maryellen Berthiaume's NPI number?

The NPI number for Maryellen Berthiaume is 1700399375. It was assigned to this individual provider in the NPPES registry on November 6, 2017.

Q: What is Maryellen Berthiaume's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Psychiatric/Mental Health, Adult, with taxonomy code 163WP0809X.

Active since November 06, 2017

26180 OUTER DR, LINCOLN PARK, MI 48146(313) 389-7558(313) 383-7293 Get Directions Write a Review

NPPES record last updated: November 6, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ms. Maryellen Berthiaume Registered Nurse NPPES

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

MS. MARYELLEN BERTHIAUME REGISTERED NURSE (NPI 1700399375) is an individual psychiatric/mental health, adult provider in Lincoln Park, Michigan, licensed in Michigan (4704237854) and active in the NPI registry since November 2017.

NPPES Registry Identity

NPI1700399375

Entity TypeIndividualFemale

Primary Taxonomy163WP0809X

Provider Legal NameMS. MARYELLEN BERTHIAUMECredential: REGISTERED NURSE

Location Address26180 OUTER DRLincoln Park, MI 48146-2084

Mailing Address26180 Outer DrLincoln Park, MI 48146-2084 · (313) 389-7558 · Fax (313) 383-7293

Phone(313) 389-7558

Fax(313) 383-7293

Sole ProprietorYes

Enumeration DateNovember 6, 2017

✔ NPI 1700399375 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Psychiatric/Mental Health, AdultNursing Service Providers

Taxonomy Code163WP0809X

License✔ Licensed in MI · 4704237854

26180 OUTER DR, Lincoln Park, MI 48146

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Other Providers at the Same Location NPPES 3

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

TEDYRA SHALON ROBINSON B.A.S.W.

Social Worker

26180 OUTER DR
LINCOLN PARK, MI 48146

Wayne County (313) 389-7500

JAMES A HURST RN

Registered Nurse

26180 OUTER DR
LINCOLN PARK, MI 48146

Wayne County (313) 389-7501

DEJA MASON

Social Worker

26180 OUTER DR
LINCOLN PARK, MI 48146

Wayne County (313) 389-7500

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 Maryellen Berthiaume's NPI number?

The NPI number for Maryellen Berthiaume is 1700399375. It was assigned to this individual provider in the NPPES registry on November 6, 2017.

Where is Maryellen Berthiaume located?

Maryellen Berthiaume practices at 26180 Outer Dr, Lincoln Park, MI 48146. The listed phone number is (313) 389-7558.

What is Maryellen Berthiaume's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Psychiatric/Mental Health, Adult, with taxonomy code 163WP0809X.

When was this NPI record last updated?

The NPPES record for Maryellen Berthiaume was last updated on November 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.