MID-MITTEN PEDIATRIC PSYCHIATRY
NPI 1902499767
Psychiatry & Neurology - Child & Adolescent Psychiatry in Haslett, MI

Active since February 12, 2021
1660 HASLETT RD STE 1, HASLETT, MI 48840(517) 347-8420(517) 347-8420 Get Directions Write a Review

NPPES record last updated: February 12, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mid-mitten Pediatric Psychiatry NPPES

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

MID-MITTEN PEDIATRIC PSYCHIATRY (NPI 1902499767) is a healthcare organization registered as a child & adolescent psychiatry in Haslett, Michigan and active in the NPI registry since February 2021. The organization lists Samantha Fugate Kennedy, Physician/owner, as its authorized official.

NPPES Registry Identity

NPI1902499767
Entity TypeOrganization
Primary Taxonomy2084P0804X
Legal Business NameMID-MITTEN PEDIATRIC PSYCHIATRY
Location Address1660 HASLETT RD STE 1Haslett, MI 48840-8469
Mailing Address1660 Haslett Rd Ste 1Haslett, MI 48840-8469 · (517) 347-8420 · Fax (517) 347-8420
Fax(517) 347-8420
Organization SubpartNo
Authorized OfficialSamantha Fugate KennedyPhysician/owner · (517) 347-8420
Enumeration DateFebruary 12, 2021
NPPES CertifiedFebruary 12, 2021
NPI 1902499767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
1660 HASLETT RD STE 1, Haslett, MI 48840

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Mid-Mitten Pediatric Psychiatry's NPI number?

The NPI number for Mid-Mitten Pediatric Psychiatry is 1902499767. It was assigned to this organization in the NPPES registry on February 12, 2021.

Where is Mid-Mitten Pediatric Psychiatry located?

Mid-Mitten Pediatric Psychiatry is located at 1660 Haslett Rd Ste 1, Haslett, MI 48840. The listed phone number is (517) 347-8420.

What is Mid-Mitten Pediatric Psychiatry's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

When was this NPI record last updated?

The NPPES record for Mid-Mitten Pediatric Psychiatry was last updated on February 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.