Psychnorth
NPI 1063887230 · Adult Mental Health Clinic/Center · Petoskey, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Psychnorth is a Adult Mental Health Clinic/Center organization in Petoskey, MI (NPI 1063887230).
Provider details
- NPI number
- 1063887230
- Entity type
- Organization
- Primary specialty
- Adult Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jo Ann Haderer, Office Manager(231) 348-5018
- License
- 4301089286 (MI)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2015-12-14
- Last updated
- 2015-12-14
Frequently asked questions
- What is Psychnorth's NPI number?
- Psychnorth's National Provider Identifier (NPI) is 1063887230, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Psychnorth?
- Psychnorth is classified in the NPPES registry as Adult Mental Health Clinic/Center (Ambulatory Health Care Facilities).
- Where is Psychnorth located?
- Psychnorth's practice location on file with NPPES is 2202 Mitchell Park Dr, Petoskey, MI 49770-8897.
- What is Psychnorth's phone number?
- The practice phone number listed in the NPPES registry for Psychnorth is (231) 348-5018.
- Does Psychnorth accept Medicare?
- Psychnorth is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Psychnorth?
- The authorized official listed on Psychnorth's NPPES record is Jo Ann Haderer, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Psychnorth's NPI active?
- Yes — Psychnorth's NPI (1063887230) is active in the NPPES registry as of the last update on 2015-12-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.