| Gogebic County Community Mental Health Authority | |
|
103 W Us Highway 2 Wakefield MI 49968-9515 | |
| (906) 229-6100 | |
| (906) 229-6191 |
| Full Name | Gogebic County Community Mental Health Authority |
|---|---|
| Speciality | Counselor |
| Location | 103 W Us Highway 2, Wakefield, Michigan |
| Authorized Official Name and Position | Tess Greenough (C.E.O.) |
| Authorized Official Contact | 9062296100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gogebic County Community Mental Health Authority 103 W Us Highway 2 Wakefield MI 49968-9515 Ph: (906) 229-6100 | Gogebic County Community Mental Health Authority 103 W Us Highway 2 Wakefield MI 49968-9515 Ph: (906) 229-6100 |
| NPI Number | 1912957143 |
|---|---|
| Provider Enumeration Date | 05/10/2006 |
| Last Update Date | 08/30/2023 |
| Certification Date | 08/30/2023 |
| Medicare PECOS PAC ID | 9537128608 |
|---|---|
| Medicare Enrollment ID | O20041005000542 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912957143 | NPI | - | NPPES |
| 750910818 | Other | MI | BLUE CROSS OPC |
| IG027143 | Other | MI | MAGELLAN STATE OF MI GROU |
| 1708119 | Medicaid | MI | |
| 4351265 | Medicaid | MI |
| Provider Name | James E Rocco |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710075346 PECOS PAC ID: 4082653571 Enrollment ID: I20050425000871 |
| Provider Name | Amit Razdan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992740252 PECOS PAC ID: 3072544683 Enrollment ID: I20050823001171 |
| Provider Name | Jeffrey Allen Senk |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679732853 PECOS PAC ID: 5496932311 Enrollment ID: I20110601000859 |
| Provider Name | Maleah Cummings |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1942530019 PECOS PAC ID: 4587853437 Enrollment ID: I20110914000391 |
| Provider Name | Stephanie L Burrows |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063525608 PECOS PAC ID: 5193794378 Enrollment ID: I20150918001697 |
| Provider Name | Morgan Chelsea Vallejo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619750692 PECOS PAC ID: 2264884576 Enrollment ID: I20240122003750 |
Gogebic County Community Mental Health Authority Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 103 W Us Highway 2, Wakefield, MI 49968 Phone: 906-229-6100 Fax: 906-229-6191 |