COMMUNITY MENTAL HEALTH FOR CENTRAL MICHIGAN — NPI 1609412840 (Board-Certified Psychiatrist (Mental Health & Behavioral Medicine Physician) in MT PLEASANT, MI)

CMS-1500 Box 24J / 33a • NPI

1609412840

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

2084P0800X (CMS 26)

Board-Certified Psychiatrist (Mental Health & Behavioral Medicine Physician)

Box 32 Service Location & ZIP+4

301 S CRAPO ST STE 200, MT PLEASANT, MI, 48858-2941

✓ 9-Digit EDI 837 ZIP+4 (48858-2941)

Practice Phone & Referral Fax

(989) 772-5938

Fax: (989) 775-7701

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1609412840 (COMMUNITY MENTAL HEALTH FOR CENTRAL MICHIGAN) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1609412840` (NPI-2 Organization / Facility)
Provider / Legal Name	COMMUNITY MENTAL HEALTH FOR CENTRAL MICHIGAN
Plain-English Specialty	Board-Certified Psychiatrist (Mental Health & Behavioral Medicine Physician) NUCC Code: `2084P0800X` (Psychiatry & Neurology, Psychiatry)
Certifying / Licensing Body	American Board of Psychiatry and Neurology (ABPN)
Practice Location Address	301 S CRAPO ST STE 200, MT PLEASANT, MI, 48858-2941
Practice Telephone / Fax	Tel: (989) 772-5938 \| Fax: (989) 775-7701
Administrative Mailing Address	301 S CRAPO ST STE 100, MT PLEASANT, MI, 48858-2941
Enumeration & Last Sync	Enumerated: 2019-11-22 \| CMS Record Updated: 2023-04-21
Authorized Official	BRYAN KROGMAN (Executive Director)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

301 S CRAPO ST STE 200, MT PLEASANT, MI, 48858-2941

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Plain-English Taxonomy & CMS Crosswalk (2084P0800X)

What Does Taxonomy Code 2084P0800X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 2084P0800X translates to:
"Board-Certified Psychiatrist (Mental Health & Behavioral Medicine Physician)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 26 (Physician/Psychiatry) • CMS Code 86 (Physician/Neuropsychiatry)
Certifying / Accrediting Authority: American Board of Psychiatry and Neurology (ABPN)
Clinical Scope: Depression, generalized anxiety, panic attacks, insomnia, bipolar disorder, OCD, PTSD, or medical recovery from substance dependence.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (COMMUNITY MENTAL HEALTH FOR CENTRAL MICHIGAN)

Typical CPT / Diagnostic Procedures:

Comprehensive Psychiatric Diagnostic Evaluation (CPT 90792)
Psychopharmacological Management & Supportive Psychotherapy
Medication-Assisted Treatment (MAT) for Substance Use Disorders

Common Therapeutic Classes:

SSRIs & SNRIs (Sertraline, Escitalopram, Fluoxetine, Duloxetine)
Bupropion, Mirtazapine & Atypical Antipsychotics (Aripiprazole, Quetiapine)
Buprenorphine/Naloxone & Naltrexone (Addiction Recovery)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`103T00000X` — Psychologist Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist	State: N/A \| License: `Verified` \| Primary: Secondary
`1041C0700X` — Social Worker, Clinical Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Social Worker, Clinical	State: N/A \| License: `Verified` \| Primary: Secondary
`101Y00000X` — Counselor Plain English: Licensed & Credentialed Counselor	State: N/A \| License: `Verified` \| Primary: Secondary
`208D00000X` — General Practice Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — General Practice	State: N/A \| License: `Verified` \| Primary: Secondary
`225X00000X` — Occupational Therapist Plain English: Board-Certified Occupational Therapist (OTR/L — Functional & Daily Living Rehab)	State: N/A \| License: `Verified` \| Primary: Secondary
`225XM0800X` — Occupational Therapist, Mental Health Plain English: Board-Certified Occupational Therapist (OTR/L — Functional & Daily Living Rehab)	State: N/A \| License: `Verified` \| Primary: Secondary
`363LP0808X` — Nurse Practitioner, Psych/Mental Health Plain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Psychiatric — Mental Health	State: N/A \| License: `Verified` \| Primary: Secondary
`364SP0808X` — Clinical Nurse Specialist, Psych/Mental Health Plain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Clinical Nurse Specialist, Psychiatric — Mental Health	State: N/A \| License: `Verified` \| Primary: Secondary
`2084P0800X` — Psychiatry & Neurology, Psychiatry Plain English: Board-Certified Psychiatrist (Mental Health & Behavioral Medicine Physician)	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

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COMMUNITY MENTAL HEALTH FOR CENTRAL MICHIGAN (NPI #1609412840)