Organization · Type 2 NPI

W.a. Foote Memorial Hospital

Psychiatry Physician · Jackson, MI

NPI number 1912445677 Active

Practice location

205 N. East Ave
Jackson, MI 49201

Call (517) 841-7843 Map

Fax (517) 841-7419

Mailing address

PO Box 670884
Detroit, MI 48267-0884

Specialties and licenses

Taxonomy	Code	License
Psychiatry Physician Primary	2084P0800X	1060000044 (MI)

Psychiatry Physician: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic la…

42 other providers at this address

Other psychiatry physician providers in Jackson

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NPI record

NPI: 1912445677
Entity type: Organization (Type 2)
Issued: Feb 2, 2017
Last updated: Oct 22, 2026
Status: Active

Other names

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Henry Ford Allegiance Health · doing business as
Henry Ford Allegiance Health · doing business as
Henry Ford Jackson Health · doing business as

Authorized official

Kimberly Cebalt
Director
(313) 874-6764

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1912445677

W.a. Foote Memorial Hospital's National Provider Identifier is 1912445677, issued on Feb 2, 2017. The primary taxonomy on file is Psychiatry Physician (2084P0800X), and the practice location is in Jackson, MI. The record was last updated on Oct 22, 2026.