Mental Health Clinic

LBN: Mental Health Clinic
Mental Health Clinic is an health care organization with primary practice located at 1514 W Milham Ave , Portage MI 49024-1296. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is the primary health care specialty. Mental Health Clinic can be contacted via phone (269) 342-0606, or through Mediratta, Ravinder P via phone (269) 342-0606.

Contact Information

Primary practice address
1514 W Milham Ave Portage MI 49024-1296
Phone: (269) 342-0606
Fax: (269) 342-0919
Website:
Map and Directions
Authorized official contact:
Name: Mediratta, Ravinder P Doctor of Medicine (MD)
Phone: (269) 342-0606

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 6401009051 Michigan
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X RM4301052512 Michigan

Profile Details

NPI number 1184822769
LBN Legal business name Mental Health Clinic
DBA Doing business as
Authorized official Mediratta, Ravinder P Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 5th, 2007
Last updated Oct 9th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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