GENESEE COUNTY COMMUNITY MENTAL HEALTH - NPI 1912225111

Q: What is Genesee County Community Mental Health's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Health Service, with taxonomy code 103TH0100X.

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About Genesee County Community Mental Health NPPES

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

GENESEE COUNTY COMMUNITY MENTAL HEALTH (NPI 1912225111) is a healthcare organization registered as a health service in Flint, Michigan and active in the NPI registry since May 2010. The organization lists Danis Russell, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1912225111

Entity TypeOrganization

Primary Taxonomy103TH0100X

Legal Business NameGENESEE COUNTY COMMUNITY MENTAL HEALTH

Location Address420 W 5TH AVEFlint, MI 48503-2445

Mailing Address725 Mason StFlint, MI 48503-2421 · (810) 257-3736

Phone(810) 257-3736

Organization SubpartNo

Authorized OfficialDanis RussellChief Executive Officer · (810) 257-3707

Enumeration DateMay 12, 2010

✔ NPI 1912225111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Health ServiceBehavioral Health & Social Service Providers

Taxonomy Code103TH0100X

Definition

A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).

420 W 5TH AVE, Flint, MI 48503

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Other Identifiers 1

Medicaid774350384MI

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

JOHN T REGAN PSYCHOLOGIST

Psychologist (Cognitive & Behavioral)

420 W 5TH AVE
FLINT, MI 48503

Genesee County (810) 496-5640

MRS. VICKI LYNN TIMS MSW

Social Worker (Clinical)

420 W 5TH AVE
FLINT, MI 48503

Genesee County (810) 496-5330

MARY KATHLEEN BEARDSLEY

Case Manager/Care Coordinator

420 W 5TH AVE
FLINT, MI 48503

Genesee County (810) 493-0225

MR. PATRICK N HENRY MSW

Social Worker (Clinical)

420 W 5TH AVE
FLINT, MI 48503

Genesee County (810) 257-3676

JON RUSSELL KRUEGER PMHNP

Nurse Practitioner (Psychiatric/Mental Health)

420 W 5TH AVE
FLINT, MI 48503

Genesee County (810) 257-3736

MARIE JONES WATTS M.A., L.P.C, CAADC

Counselor (Mental Health)

420 W 5TH AVE
FLINT, MI 48503

Genesee County (810) 496-5272

SHAQETA LAJOYCE ALLEN

Case Manager/Care Coordinator

420 W 5TH AVE
FLINT, MI 48503

Genesee County (810) 496-4876

STEPHANIE LYNN HACKNEY

Case Manager/Care Coordinator

420 W 5TH AVE
FLINT, MI 48503

Genesee County (810) 287-8833

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 Genesee County Community Mental Health's NPI number?

The NPI number for Genesee County Community Mental Health is 1912225111. It was assigned to this organization in the NPPES registry on May 12, 2010.

Where is Genesee County Community Mental Health located?

Genesee County Community Mental Health is located at 420 W 5th Ave, Flint, MI 48503. The listed phone number is (810) 257-3736.

What is Genesee County Community Mental Health's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Health Service, with taxonomy code 103TH0100X.

When was this NPI record last updated?

The NPPES record for Genesee County Community Mental Health was last updated on May 12, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.