| Van Buren Community Mental Health Authority | |
|
801 Hazen St Ste C Paw Paw MI 49079-0249 | |
| (269) 657-5574 | |
| (269) 657-3474 |
| Full Name | Van Buren Community Mental Health Authority |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 801 Hazen St, Paw Paw, Michigan |
| Authorized Official Name and Position | Debra Hess (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 2696575574 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Van Buren Community Mental Health Authority Po Box 249 801 Hazen St Ste C Paw Paw MI 49079-0249 Ph: (269) 657-5574 | Van Buren Community Mental Health Authority 801 Hazen St Ste C Paw Paw MI 49079-0249 Ph: (269) 657-5574 |
| NPI Number | 1003878554 |
|---|---|
| Provider Enumeration Date | 04/03/2006 |
| Last Update Date | 01/31/2008 |
| Medicare PECOS PAC ID | 6800863788 |
|---|---|
| Medicare Enrollment ID | O20040910000867 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003878554 | NPI | - | NPPES |
| Provider Name | Chetan M Vyas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437172244 PECOS PAC ID: 8628090107 Enrollment ID: I20051227000522 |
| Provider Name | Carolyn K Haas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952483927 PECOS PAC ID: 9335248954 Enrollment ID: I20070622000387 |
| Provider Name | Judith A Peelle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487653465 PECOS PAC ID: 5294834412 Enrollment ID: I20070628000199 |
| Provider Name | Stanford Kent Hyslop |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235283003 PECOS PAC ID: 3476638446 Enrollment ID: I20080314000417 |
| Provider Name | Linda Lu Baker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851351142 PECOS PAC ID: 4082770441 Enrollment ID: I20090310000250 |
| Provider Name | James E Palkowski |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487892402 PECOS PAC ID: 4880750264 Enrollment ID: I20090310000464 |
| Provider Name | Anjali J Mehta |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053425801 PECOS PAC ID: 2163670175 Enrollment ID: I20120918000034 |
| Provider Name | Ruth W Fuentes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275728222 PECOS PAC ID: 9830418359 Enrollment ID: I20150505002700 |
| Provider Name | Reema Sarkar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184966632 PECOS PAC ID: 1850611484 Enrollment ID: I20150522000663 |
| Provider Name | Cristina Caruso |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164619425 PECOS PAC ID: 8628382413 Enrollment ID: I20150807013487 |
| Provider Name | Jane Turner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770956278 PECOS PAC ID: 5193035491 Enrollment ID: I20151116002138 |
| Provider Name | Karen Riffer Reinert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871033936 PECOS PAC ID: 6204111339 Enrollment ID: I20170331001931 |
| Provider Name | Cindy Lou Newberry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043786700 PECOS PAC ID: 0749524502 Enrollment ID: I20181205000643 |
| Provider Name | Elizabeth Kirby |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407283104 PECOS PAC ID: 0345585212 Enrollment ID: I20181220002201 |
| Provider Name | Michael Nelson Leonard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407231855 PECOS PAC ID: 1456691005 Enrollment ID: I20190319002207 |
| Provider Name | Kellie Hakken |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740660968 PECOS PAC ID: 8729328828 Enrollment ID: I20190328000747 |
| Provider Name | Travis L Anderson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134574650 PECOS PAC ID: 9537497029 Enrollment ID: I20190821003811 |
| Provider Name | Tara Bugg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689054736 PECOS PAC ID: 8729416193 Enrollment ID: I20200318000278 |
| Provider Name | Kaitlyn M Couturier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578182788 PECOS PAC ID: 4587054705 Enrollment ID: I20211202001190 |
| Provider Name | Agam Dhawan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801457197 PECOS PAC ID: 4880929009 Enrollment ID: I20211208000426 |
| Provider Name | Lisa Marie Pearson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558556506 PECOS PAC ID: 5799164109 Enrollment ID: I20220615001015 |
| Provider Name | Kathleen Najah Carter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902396740 PECOS PAC ID: 7517222193 Enrollment ID: I20220720003743 |
| Provider Name | Taylor Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376058792 PECOS PAC ID: 4587045414 Enrollment ID: I20220722002026 |
| Provider Name | Kasie M Broe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366051898 PECOS PAC ID: 3779965447 Enrollment ID: I20220728001252 |
| Provider Name | Rachael Gilbert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578296257 PECOS PAC ID: 8426432493 Enrollment ID: I20220825002021 |
| Provider Name | Sarah Lynn Gambill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104174689 PECOS PAC ID: 0345625562 Enrollment ID: I20220923000668 |
| Provider Name | Samantha Lynn Crumb |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194383794 PECOS PAC ID: 0648649467 Enrollment ID: I20221216001449 |
| Provider Name | Nicholas Gehring |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588173330 PECOS PAC ID: 1759749948 Enrollment ID: I20230620003174 |
| Provider Name | Chelsea Kristine Owens |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699309328 PECOS PAC ID: 1355704099 Enrollment ID: I20230829003214 |
| Provider Name | Steven Jay Koster |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164618195 PECOS PAC ID: 8729422050 Enrollment ID: I20240214003923 |
| Provider Name | Samuel Lewis Brode |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780351122 PECOS PAC ID: 5890139521 Enrollment ID: I20240221000655 |
| Provider Name | Melanie Krieg |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518263664 PECOS PAC ID: 4183068745 Enrollment ID: I20240222000995 |
| Provider Name | Vidur Solanki |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619543758 PECOS PAC ID: 0547662207 Enrollment ID: I20240305003372 |
Van Bure Community Mental Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 801 Hazen St, Paw Paw, MI 49079 Phone: 269-657-5574 Fax: 269-657-3474 | |
Balance Life Therapy Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 103 Hamilton St, Paw Paw, MI 49079 Phone: 616-283-7187 | |
Kari Schmidt Lpc, Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 32891 Cabernet, Paw Paw, MI 49079 Phone: 231-250-8281 | |
Van Buren Community Mental Health Physician Professional Group Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 801 Hazen Street, Suite C, Paw Paw, MI 49079 Phone: 269-657-5574 Fax: 269-657-3474 | |
Kanaan Therapy And Behavioral Health Services, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 816 East Michigan Avenue, Suite 103, Paw Paw, MI 49079 Phone: 269-815-8168 | |
Lakeview Community Hospital Authority Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 505 Hazen St, Suite 104, Paw Paw, MI 49079 Phone: 269-657-1595 Fax: 269-657-1534 |