| Ottawa County Community Mental Health | |
|
12265 James St Holland MI 49424-8613 | |
| (616) 393-5600 | |
| (616) 393-5687 |
| Full Name | Ottawa County Community Mental Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 12265 James St, Holland, Michigan |
| Authorized Official Name and Position | Lynne Doyle (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6164945421 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ottawa County Community Mental Health 12265 James St Holland MI 49424-8613 Ph: (616) 393-5600 | Ottawa County Community Mental Health 12265 James St Holland MI 49424-8613 Ph: (616) 393-5600 |
| NPI Number | 1619932381 |
|---|---|
| Provider Enumeration Date | 04/18/2006 |
| Last Update Date | 12/18/2023 |
| Certification Date | 12/18/2023 |
| Medicare PECOS PAC ID | 0042118036 |
|---|---|
| Medicare Enrollment ID | O20050108000114 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619932381 | NPI | - | NPPES |
| 104948647 | Medicaid | MI | |
| 174454610 | Medicaid | MI | |
| 104359998 | Medicaid | MI | |
| 103234489 | Medicaid | MI | |
| 774350428 | Medicaid | MI |
| Provider Name | Trina S Crowe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275641805 PECOS PAC ID: 3072595875 Enrollment ID: I20040604000595 |
| Provider Name | Marlise Bakker Van Zytveld |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235152471 PECOS PAC ID: 5496761199 Enrollment ID: I20060306000223 |
| Provider Name | Calvin C Taylor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154335388 PECOS PAC ID: 2668489865 Enrollment ID: I20060313000717 |
| Provider Name | Edward C Swart |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1578675609 PECOS PAC ID: 9739149006 Enrollment ID: I20080903000423 |
| Provider Name | Barbara A Watson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962694133 PECOS PAC ID: 8224114525 Enrollment ID: I20090120000276 |
| Provider Name | Christine R Keener |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710296066 PECOS PAC ID: 9335321306 Enrollment ID: I20110311000584 |
| Provider Name | Jenifer N Sleight |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144632761 PECOS PAC ID: 0840412540 Enrollment ID: I20141113000836 |
| Provider Name | David R Franzblau |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669458576 PECOS PAC ID: 6507951498 Enrollment ID: I20151204001605 |
| Provider Name | Krista A Bedells |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700225182 PECOS PAC ID: 4284995432 Enrollment ID: I20180302001314 |
| Provider Name | Joseph C Drumm |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619262680 PECOS PAC ID: 6305145020 Enrollment ID: I20180427000972 |
| Provider Name | Rachel Owen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669025888 PECOS PAC ID: 1153651153 Enrollment ID: I20190917003766 |
| Provider Name | Leah Jean Magnuson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700322245 PECOS PAC ID: 2961734397 Enrollment ID: I20191104002211 |
| Provider Name | Sandra Candy Castle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174848899 PECOS PAC ID: 2860807377 Enrollment ID: I20210216000782 |
| Provider Name | Rhonda Marie Rutan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003158882 PECOS PAC ID: 2567877947 Enrollment ID: I20210217000324 |
| Provider Name | Shaine Francine Reinecke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730457896 PECOS PAC ID: 4688089931 Enrollment ID: I20210218000714 |
| Provider Name | Rebecca Jeanne Wyngarden |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063985950 PECOS PAC ID: 2062828940 Enrollment ID: I20210302000902 |
| Provider Name | Ann Cudney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396384426 PECOS PAC ID: 7618385055 Enrollment ID: I20210422003106 |
Counseling & Consultation Resources Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 720 E 8th St, Suite 2, Holland, MI 49423 Phone: 616-355-0549 Fax: 616-355-0480 | |
Comprehensive Psyiatric Services Of Western Mi Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 12978 James Street, Ste 10, Holland, MI 49424 Phone: 616-399-7005 Fax: 616-399-7150 | |
Benjamin's Hope Life Enrichment Program Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 15468 Riley St, Holland, MI 49424 Phone: 616-399-6293 | |
Center For Family Development Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 347 Hoover Blvd, Suite A, Holland, MI 49423 Phone: 616-392-7695 Fax: 616-392-6955 | |
Holland Community Hospital Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3235 Wellness Dr, Holland, MI 49424 Phone: 616-392-5141 | |
Daniel G. Rooks, Psy.d., P.c. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3124 N Wellness Dr, Suite 30, Holland, MI 49424 Phone: 616-786-3350 Fax: 616-786-3375 | |
Ck Psychological Associates, P.c. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 246 S River Ave, Suite 105, Holland, MI 49423 Phone: 616-494-0808 Fax: 616-494-0011 |