MELVIN VICTOR ECKLES


Address: 1200 N Telegraph Rd, Pontiac, MI 48341-1032
Phone: 2484513742

MELVIN VICTOR ECKLES (NPI# 1003331232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003331232
Entity Type Individual
Full Name MELVIN VICTOR ECKLES
Practice Address 1200 N Telegraph Rd
Pontiac
MI 48341-1032
Mailing Address 1200 N Telegraph Rd Bldg 32e
Pontiac
MI 48341-1032
Practice Telephone 2484513742
Mailing Telephone 2484512656
Enumeration Date 2017-08-09
Last Update Date 2017-08-09
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 175T00000X Peer Specialist Other Service Providers

Office Location

Street Address 1200 N TELEGRAPH RD
City PONTIAC
State MI
Zip Code 48341-1032

Providers in the same location

NPI Name Taxonomy Address Enumeration
1649245010 Christy Marie Thallman Nurse Practitioner 1200 N Telegraph Rd, Bldg. 32e, Pontiac, MI 48341-1032 2006-02-21
1912533266 David Anthony Dudek Counselor 1200 N Telegraph Rd, Pontiac, MI 48341-1032 2020-03-19
1104477405 Caitlin Jayne Lyons Social Worker 1200 N Telegraph Rd, Pontiac, MI 48341-1032 2019-09-27
1508421355 Joseph Arthur Keith Sudau Registered Nurse 1200 N Telegraph Rd, Pontiac, MI 48341-1032 2019-05-07
1811462823 Ashley Marie Snowden Psychologist 1200 N Telegraph Rd, Pontiac, MI 48341-1032 2018-10-05
1073099255 Latonna Marika Caleb-hughes Social Worker 1200 N Telegraph Rd, Pontiac, MI 48341-1032 2018-07-11
1700379708 Molly King Social Worker 1200 N Telegraph Rd, Pontiac, MI 48341-1032 2018-06-13
1962992990 Michelle Faye Stepp Emergency Medical Technician, Paramedic 1200 N Telegraph Rd, Pontiac, MI 48341-1032 2018-05-15
1710480769 Joshua Walendzik Emergency Medical Technician, Paramedic 1200 N Telegraph Rd, Pontiac, MI 48341-1032 2018-03-15
1811404833 Matthew Justin Gay Case Manager/Care Coordinator 1200 N Telegraph Rd, Pontiac, MI 48341-1032 2017-12-29
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1003415837 Brittany Taylor Shandor Registered Nurse 32 East, 1200 Telegraph Rd, Pontiac, MI 48341 2020-10-22
1013534999 Siddharth Chopra Student in an Organized Health Care Education/Training Program 44405 Woodward Avenue Saint Joseph Mercy Oakland Hospit, Medical Education H-23, Pontiac, MI 48341 2020-06-26
1972120962 Tara Elizabeth Bjorklund Obstetrics & Gynecology 44405 Woodward Ave - H23, St. Joseph Mercy Oakland - Gme Office, Pontiac, MI 48341 2020-06-25
1245856145 Sarah Fatima Student in an Organized Health Care Education/Training Program St. Joseph Mercy Oakland Hospital, 44405 Woodward Avenue, Medical Education H-23, Pontiac, MI 48341 2020-06-17
1407471188 Tyler Schaefer Emergency Medical Technician, Basic 32east 1200 N. Telegraph Rd., Pontiac, MI 48341 2020-06-09
1639793581 Yash Kirankumar Varma Student in an Organized Health Care Education/Training Program 44405 Woodward Avenue, Medical Education H-23, Pontiac, MI 48341 2020-06-05
1326661687 Fnu Kavita Student in an Organized Health Care Education/Training Program C/o Shelly Casey, St. Joseph Mercy Oakland Hospital, 44405 Woodward Avenue Medical Education - H23, Pontiac, MI 48341 2020-05-21
1801452578 Lolita Curry Registered Nurse 32 East 1200 Telegraph, Pontiac, MI 48341 2019-05-17
1619530060 Priyadarshini Dixit Student in an Organized Health Care Education/Training Program 44405 Woodward Avenue, St. Joseph Mercy Oakland Hospita, Pontiac, MI 48341 2019-04-20
1891358370 Anil Gurpersaud Student in an Organized Health Care Education/Training Program 44405 Woodward Ave., St. Joseph Mercy Oakland, Pontiac, MI 48341 2019-04-19
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Taxonomy Information

Taxonomy Code 175T00000X
Grouping Other Service Providers
Classification Peer Specialist

Taxonomy Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Notes: Source: National Uniform Claim Committee [7/1/2014: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1376156919 Larry G West II Peer Specialist 1685 Baldwin Ave Ste 100, Pontiac, MI 48340-1242 2020-08-24
1093348906 Robert Corey Peer Specialist 1841 N Perry St, Pontiac, MI 48340-2235 2020-02-19
1861025991 Jordan Mark Shulman Peer Specialist 1841 N Perry St, Pontiac, MI 48340-2235 2020-02-17
1528579174 Michael Lee Mcfarland Peer Specialist 1200 N Telegraph Rd Bldg 32, Pontiac, MI 48341-1032 2017-10-22

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1063026284 Leah Mae Sindone Peer Specialist 22324 Derby Rd, Woodhaven, MI 48183-3700 2020-09-04
1992314728 Willie Earl Feggins Peer Specialist 370 Country Club Rd, Holland, MI 49423-8303 2020-07-28
1831711613 John Lee Williams Jr. Peer Specialist 24400 Schoolcraft, Redford, MI 48239-2633 2020-05-14
1568084861 Zannie Roy Jackson Jr. Peer Specialist 36801 Ann Arbor Trl, Livonia, MI 48150-3422 2020-05-11
1417578865 Veronica R Vasquez Peer Specialist 500 Hancock St # 48602, Saginaw, MI 48602-4224 2020-04-27
1235768680 Matthew Milz Peer Specialist 145o S Lapeer Rd, Oxford, MI 48371-4982 2020-04-07
1558996132 Camille Jewell Jackson Peer Specialist 8181 N Wayne Rd Apt S2147, Westland, MI 48185-3842 2020-03-04
1073146908 James Laroach Peer Specialist 913 W. Homes Suite 200, Lansing, MI 48910 2020-02-19
1578193827 Axel Lee Gruenberg Peer Specialist 221790 West 9 Mile, Southfield, MI 48033 2020-01-24
1962032078 Brianne Salchert Peer Specialist 1170 Michigan Rd., Port Huron, MI 48060 2020-01-17
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Competitor

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City PONTIAC
Zip Code 48341

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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