| Sanilac County Community Mental Health Authority | |
|
217 E Sanilac Rd Sandusky MI 48471-1383 | |
| (810) 648-0330 | |
| Not Available |
| Full Name | Sanilac County Community Mental Health Authority |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 217 E Sanilac Rd, Sandusky, Michigan |
| Authorized Official Name and Position | Wilbert Morris (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 8106480330 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sanilac County Community Mental Health Authority 227 E Sanilac Rd Sandusky MI 48471-1160 Ph: (810) 648-0330 | Sanilac County Community Mental Health Authority 217 E Sanilac Rd Sandusky MI 48471-1383 Ph: (810) 648-0330 |
| NPI Number | 1306854880 |
|---|---|
| Provider Enumeration Date | 08/03/2006 |
| Last Update Date | 05/25/2023 |
| Certification Date | 05/25/2023 |
| Medicare PECOS PAC ID | 0749252062 |
|---|---|
| Medicare Enrollment ID | O20040809000195 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306854880 | NPI | - | NPPES |
| 0910720 | Other | MI | BCBS |
| 1181585 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Agnes A Bissett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972644458 PECOS PAC ID: 0941277206 Enrollment ID: I20040915000741 |
| Provider Name | Liza Raymond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508915562 PECOS PAC ID: 7911191499 Enrollment ID: I20101028000786 |
| Provider Name | Gloria Klinesteker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992932735 PECOS PAC ID: 0547490013 Enrollment ID: I20140228000841 |
| Provider Name | Dale A Mero |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639556715 PECOS PAC ID: 7416277694 Enrollment ID: I20150529001227 |
| Provider Name | Andrea Misch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588928725 PECOS PAC ID: 7416250790 Enrollment ID: I20160120001124 |
| Provider Name | Nicole R Bartels |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871849448 PECOS PAC ID: 7618240474 Enrollment ID: I20170830002756 |
| Provider Name | Misty A Pascual |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790288702 PECOS PAC ID: 0941544365 Enrollment ID: I20181211003189 |
| Provider Name | Kathleen M Behnke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184974909 PECOS PAC ID: 4082024567 Enrollment ID: I20201112001317 |
| Provider Name | Courtney M Mahaffy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013491000 PECOS PAC ID: 8123435989 Enrollment ID: I20210324000988 |
| Provider Name | Anne G Van Den Goor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356987275 PECOS PAC ID: 6002208311 Enrollment ID: I20220119000536 |
| Provider Name | Danielle Psaila |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568943645 PECOS PAC ID: 2860872470 Enrollment ID: I20220629000548 |
| Provider Name | John W Dawson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184286700 PECOS PAC ID: 2264816131 Enrollment ID: I20220826002810 |
| Provider Name | Melisa Martinez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003350414 PECOS PAC ID: 3870986045 Enrollment ID: I20230510002497 |
| Provider Name | Tiffany Rich |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508130782 PECOS PAC ID: 2668818949 Enrollment ID: I20240308001496 |
Millie A. Paterson, Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 119 E Sanilac Rd, Suite 8, Sandusky, MI 48471 Phone: 810-689-4760 Fax: 810-958-1295 | |
Gardens Of Heather Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 299 E Sanilac Rd, Sandusky, MI 48471 Phone: 810-648-9355 Fax: 810-648-9383 | |
List Psychological Services, Plc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 14 Lincoln Street, Sandusky, MI 48471 Phone: 810-667-4500 | |
Sanilac County Community Mental Health Authority Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 227 E Sanilac Rd, Sandusky, MI 48471 Phone: 810-648-0330 | |
Sanilac County Community Mental Health Authority Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 217 E Sanilac Rd, Sandusky, MI 48471 Phone: 810-648-0330 Fax: 810-648-0319 | |
Lakeshore Therapy Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 51 Austin St, Sandusky, MI 48471 Phone: 810-689-4846 Fax: 810-958-1430 |