| Montcalm Care Network | |
|
611 N State Street Stanton MI 48888 | |
| (989) 831-7520 | |
| (989) 831-7578 |
| Full Name | Montcalm Care Network |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 611 N State Street, Stanton, Michigan |
| Authorized Official Name and Position | James R Wise (ASSOCIATE DIRECTOR OF FINANCE) |
| Authorized Official Contact | 9898317577 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Montcalm Care Network 611 N State Street Stanton MI 48888 Ph: (989) 831-7520 | Montcalm Care Network 611 N State Street Stanton MI 48888 Ph: (989) 831-7520 |
| NPI Number | 1710074448 |
|---|---|
| Provider Enumeration Date | 10/06/2006 |
| Last Update Date | 02/10/2023 |
| Certification Date | 02/10/2023 |
| Medicare PECOS PAC ID | 8123000932 |
|---|---|
| Medicare Enrollment ID | O20040623001391 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710074448 | NPI | - | NPPES |
| 1712461 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (NU) | Primary |
| Provider Name | David E Lyon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508832155 PECOS PAC ID: 4688562291 Enrollment ID: I20040305000904 |
| Provider Name | Brian D Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629052790 PECOS PAC ID: 5496730269 Enrollment ID: I20040624000258 |
| Provider Name | John D Mesaros |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669587580 PECOS PAC ID: 2769451012 Enrollment ID: I20041001001089 |
| Provider Name | Nazimuddin T Mohammed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316974249 PECOS PAC ID: 4284684663 Enrollment ID: I20050124000691 |
| Provider Name | Vincent Kempinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831118397 PECOS PAC ID: 7810903887 Enrollment ID: I20060228000540 |
| Provider Name | Princewell U Onwere |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164441721 PECOS PAC ID: 8628002284 Enrollment ID: I20060907000368 |
| Provider Name | Emily C Barr |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407948540 PECOS PAC ID: 6305941238 Enrollment ID: I20070420000270 |
| Provider Name | Susan Gabriel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932162302 PECOS PAC ID: 0840396784 Enrollment ID: I20070509000421 |
| Provider Name | Patrick F Hite |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1780912626 PECOS PAC ID: 1456485028 Enrollment ID: I20100818000296 |
| Provider Name | Katherine M Behrenwald |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1942698576 PECOS PAC ID: 4688992076 Enrollment ID: I20150415001142 |
| Provider Name | Wendy J Zank |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922359280 PECOS PAC ID: 1951622638 Enrollment ID: I20150605002397 |
| Provider Name | Samantha Kennedy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154760312 PECOS PAC ID: 1850661679 Enrollment ID: I20170726002725 |
| Provider Name | Melanie M Dennison |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861915928 PECOS PAC ID: 4981975034 Enrollment ID: I20170808000698 |
| Provider Name | Paul S Kim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790862225 PECOS PAC ID: 9638203789 Enrollment ID: I20171101001953 |
| Provider Name | Laurie J Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730526849 PECOS PAC ID: 7416294186 Enrollment ID: I20190204001525 |
| Provider Name | Nicomedes M Sansait |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619063120 PECOS PAC ID: 5597721621 Enrollment ID: I20191009001872 |
| Provider Name | Maninderpal Dhillon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306226238 PECOS PAC ID: 7315379401 Enrollment ID: I20191111002161 |
| Provider Name | Nicole a Vega |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366971624 PECOS PAC ID: 3072930502 Enrollment ID: I20200826000999 |
| Provider Name | Anjum Mujahid |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306811948 PECOS PAC ID: 2264569342 Enrollment ID: I20201007000623 |
| Provider Name | Cheryl L Bruno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174953582 PECOS PAC ID: 2961630843 Enrollment ID: I20201012001655 |
| Provider Name | Perla Garza |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659805802 PECOS PAC ID: 3577974732 Enrollment ID: I20201119003378 |
| Provider Name | Chidinma E Isinguzo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558640094 PECOS PAC ID: 6406157007 Enrollment ID: I20210304001517 |
| Provider Name | Behtany D Hintz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891354478 PECOS PAC ID: 7012319536 Enrollment ID: I20210707000591 |
| Provider Name | Bryan E Bolen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548820467 PECOS PAC ID: 6709245418 Enrollment ID: I20230628003400 |
| Provider Name | Nicholas Austin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831455211 PECOS PAC ID: 6800199183 Enrollment ID: I20230925000953 |
| Provider Name | Jodi R Ferris |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306395314 PECOS PAC ID: 7517318249 Enrollment ID: I20240108003251 |
| Provider Name | Susan L Colombo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851819924 PECOS PAC ID: 5395196745 Enrollment ID: I20240110001135 |
| Provider Name | David Mitchell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184015588 PECOS PAC ID: 0042653776 Enrollment ID: I20240208004054 |
| Provider Name | Catherine Mary Joyce Hazekamp |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306464581 PECOS PAC ID: 7719327832 Enrollment ID: I20240506003328 |
| Provider Name | William R Overton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831476720 PECOS PAC ID: 2860981628 Enrollment ID: I20251030004909 |
Spectrum Health United Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1480 S Sheridan Rd, Stanton, MI 48888 Phone: 616-267-0785 |
Braveheart Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 284 Woodlawn Dr, Stanton, MI 48888 Phone: 616-430-7868 |
Chgvh TM Clinic Montcalm HS Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1480 S Sheridan Rd, Stanton, MI 48888 Phone: 616-754-3001 |