| Northeast Michigan Community Mental Health Authority | |
|
400 Johnson St Alpena MI 49707-1434 | |
| (989) 356-2161 | |
| (989) 354-5898 |
| Full Name | Northeast Michigan Community Mental Health Authority |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 400 Johnson St, Alpena, Michigan |
| Authorized Official Name and Position | Charles A White (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9893562161 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeast Michigan Community Mental Health Authority 400 Johnson St Alpena MI 49707-1434 Ph: (989) 356-2161 | Northeast Michigan Community Mental Health Authority 400 Johnson St Alpena MI 49707-1434 Ph: (989) 356-2161 |
| NPI Number | 1144378381 |
|---|---|
| Provider Enumeration Date | 01/06/2007 |
| Last Update Date | 10/02/2008 |
| Medicare PECOS PAC ID | 2264498005 |
|---|---|
| Medicare Enrollment ID | O20041203000522 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144378381 | NPI | - | NPPES |
| 4352772 | Medicaid | MI | |
| 4458332 | Medicaid | MI | |
| 1708100 | Medicaid | MI | |
| 26-0-Z4-1060-0 | Other | MI | BLUE CROSS BLUE SHIELD OF MICHIGAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Elsie R Challender |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265545206 PECOS PAC ID: 6709869340 Enrollment ID: I20040612000403 |
| Provider Name | Ali E Ibrahim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710089388 PECOS PAC ID: 1658349212 Enrollment ID: I20040921001007 |
| Provider Name | Paul T Rajasekhar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699801027 PECOS PAC ID: 3476597360 Enrollment ID: I20050613000155 |
| Provider Name | Monika Arora |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083705727 PECOS PAC ID: 7618911124 Enrollment ID: I20050615000872 |
| Provider Name | Kelly R Kendziorski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518117944 PECOS PAC ID: 1153481510 Enrollment ID: I20081115000166 |
| Provider Name | Theresa R Gibson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942453519 PECOS PAC ID: 4587725262 Enrollment ID: I20081213000064 |
| Provider Name | Brian D Krause |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588638068 PECOS PAC ID: 8224183645 Enrollment ID: I20090908000289 |
| Provider Name | Carrie A Standen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568795177 PECOS PAC ID: 9335281658 Enrollment ID: I20100126000149 |
| Provider Name | Anastasia E Banicki Hoffman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043404924 PECOS PAC ID: 6406989425 Enrollment ID: I20100728000391 |
| Provider Name | Carey M Schiller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053323832 PECOS PAC ID: 2668624560 Enrollment ID: I20121128000290 |
| Provider Name | Erin N Fletcher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497171607 PECOS PAC ID: 3870726870 Enrollment ID: I20140428001450 |
| Provider Name | Frank J Van Goethem |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841632361 PECOS PAC ID: 6305063520 Enrollment ID: I20140812002474 |
| Provider Name | Danica Dumsch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720419252 PECOS PAC ID: 7810287745 Enrollment ID: I20160606002541 |
| Provider Name | Deborah A Narrin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619419033 PECOS PAC ID: 5991085565 Enrollment ID: I20161219000432 |
| Provider Name | Lisa A Spurlock |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881860658 PECOS PAC ID: 6002123692 Enrollment ID: I20170929003202 |
| Provider Name | Michelle K Knoch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285152660 PECOS PAC ID: 1759624877 Enrollment ID: I20190513001661 |
| Provider Name | Sarah Hamilton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982122081 PECOS PAC ID: 0345672010 Enrollment ID: I20191118003237 |
| Provider Name | Meagan E Florip |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780249318 PECOS PAC ID: 4688090426 Enrollment ID: I20200811003349 |
| Provider Name | Alisha Renee Thibault-hladki |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295264034 PECOS PAC ID: 4981974425 Enrollment ID: I20210401001227 |
| Provider Name | Lindsey N Daoust |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639650906 PECOS PAC ID: 1456753896 Enrollment ID: I20210708000836 |
| Provider Name | Shelly L Budnik |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063918357 PECOS PAC ID: 2466842315 Enrollment ID: I20211208000402 |
| Provider Name | Melissa Tolan-halleck |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1043743347 PECOS PAC ID: 4981081791 Enrollment ID: I20220517002512 |
| Provider Name | Caitlin Wade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457081036 PECOS PAC ID: 6608251731 Enrollment ID: I20220909002572 |
Sunrise Centre, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 630 Walnut St, Alpena, MI 49707 Phone: 989-356-6649 Fax: 989-356-3559 | |
Northern Sky Therapeutic Services, Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 150 S Ripley Blvd, Alpena, MI 49707 Phone: 989-884-0066 | |
Alcona Health Center-alpena Services Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1185 Us Highway 23 N, Alpena, MI 49707 Phone: 989-356-4049 Fax: 989-358-3712 | |
Thunder Bay Junior High School Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3500 S Third Ave, Alpena, MI 49707 Phone: 989-736-8157 | |
Ahc Lincoln School Wildcat Health Extension Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 309 W Lake St, Alpena, MI 49707 Phone: 989-358-3998 | |
Ahc-alpena High School Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3303 S Third Ave, Alpena, MI 49707 Phone: 989-358-5200 |