MR. RONALD GERVIN (NPI# 1023358413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023358413 |
| Entity Type | Individual |
| Full Name | MR. RONALD GERVIN |
| Practice Address |
1852 W Grand Blvd Detroit MI 48208-1006 |
| Practice Telephone | 3138948444 |
| Practice Fax Number | 3138945542 |
| Mailing Telephone | 3138948444 |
| Mailing Fax Number | 3138945542 |
| Enumeration Date | 2013-02-21 |
| Last Update Date | 2013-02-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 381917278 | 05 |
| Street Address |
1852 W GRAND BLVD |
| City | DETROIT |
| State | MI |
| Zip Code | 48208-1006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851457451 | Self Help Addiction Rehabilitation (shar) | Substance Abuse Rehabilitation Facility | 1852 W Grand Blvd, Detroit, MI 48208-1006 | 2006-12-28 |
| 1295373504 | Teri Laurie Colvin | Community Based Residential Treatment Facility, Mental Illness | 1852 W Grand Blvd, Detroit, MI 48208-1006 | 2019-12-17 |
| 1659827301 | Felicia Jackson | Community Health Worker | 1852 W Grand Blvd, Detroit, MI 48208-1006 | 2016-08-31 |
| 1285090886 | Mark Winfield II | Counselor | 1852 W Grand Blvd, Detroit, MI 48208-1006 | 2016-01-12 |
| 1134585003 | Rae Harris | Counselor | 1852 W Grand Blvd, Detroit, MI 48208-1006 | 2016-01-08 |
| 1831555630 | Carolyn Louise Miles | Counselor | 1852 W Grand Blvd, Detroit, MI 48208-1006 | 2016-01-08 |
| 1598121386 | Lawrence Barnes | Counselor | 1852 W Grand Blvd, Detroit, MI 48208-1006 | 2016-01-08 |
| 1396101226 | Tinelda Williamson | Counselor | 1852 W Grand Blvd, Detroit, MI 48208-1006 | 2016-01-07 |
| 1043676968 | Lee Zinsky | Counselor | 1852 W Grand Blvd, Detroit, MI 48208-1006 | 2016-01-07 |
| 1962868893 | Tiffani Holley | Counselor | 1852 W Grand Blvd, Detroit, MI 48208-1006 | 2016-01-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023616554 | Henry Ford Health System | Pharmacy | 2800 W Grand Blvd, Detroit, MI 48208 | 2020-10-16 |
| 1932645405 | Diane Louise Dodson | Counselor | 5500 Trumbull Apt 315, Detroit, MI 48208 | 2017-01-09 |
| 1164881306 | Cory Eugene Martin | Counselor | 1852 W. Grand Blvd., Detroit, MI 48208 | 2016-02-16 |
| 1578947784 | Hamza Belhaj | Dentist | 2700 Martin Luther King Jr Blvd, Detroit, MI 48208 | 2015-07-17 |
| 1942629167 | Diana Pool | Counselor | 3737 Lawton, Detroit, MI 48208 | 2014-04-15 |
| 1124467048 | Aisha Williams | Social Worker | 4707 Vinewood St., Detroit, MI 48208 | 2013-06-25 |
| 1295079895 | Mia Love | Nurse Practitioner | 2959 Martin Luther King Jr Blvd, Detroit, MI 48208 | 2012-11-20 |
| 1992064356 | Valarie Egeria Foulks | Counselor | 2051 W. Grand Blvd, Detroit, MI 48208 | 2012-05-04 |
| 1023304078 | Ayana Njeri Davis | Massage Therapist | 2550 W. Grand Blvd, Detroit, MI 48208 | 2011-06-28 |
| 1184922627 | Shar Inc. | Community Based Residential Treatment Facility, Mental Illness | 1852 W.grand Blvd, Detroit, MI 48208 | 2011-03-08 |
| Find all providers in zip 48208 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386251841 | Diversified Community Services | Counselor | 10301 W 7 Mile Rd, Detroit, MI 48221-1962 | 2020-09-29 |
| 1750907853 | Ronnie Stephen | Counselor | 15025 Fenkell St, Detroit, MI 48227-2647 | 2020-06-24 |
| 1144860552 | Allen Hugh Warrick IIi | Counselor | 9605 Grand River Ave # A, Detroit, MI 48204-2139 | 2020-01-14 |
| 1396309878 | Darnesha Coy | Counselor | 17870 Dresden St, Detroit, MI 48205-3138 | 2019-04-30 |
| 1518438746 | Curron Thomas | Counselor | 16850 Wyoming St, Apartment 328, Detroit, MI 48221-3415 | 2018-12-16 |
| 1861962094 | Reid Talley | Counselor | 12010 Elmhurst, Detroit, MI 48206 | 2018-11-30 |
| 1205304359 | Life Challenge of Southeastern Michigan | Counselor | 17667 Pierson St, Detroit, MI 48219-2520 | 2018-11-07 |
| 1598233892 | Michigan Employment & Training Plus | Counselor | 6522 Piedmont St, Detroit, MI 48228-4950 | 2018-11-05 |
| 1821588773 | Avery Brown Jr. | Counselor | 8333 Townsend St, Detroit, MI 48213-2331 | 2018-05-16 |
| 1538669304 | Helping Hands Community Centers 1 | Counselor | 2434 Chicago Blvd, Detroit, MI 48206-1741 | 2018-02-17 |
| Find all providers in DETROIT | ||||
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| 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.