DEBRA STUPKA (NPI# 1023416013) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023416013 |
| Entity Type | Individual |
| Full Name | DEBRA STUPKA |
| Practice Address |
418 W Kalamazoo Ave Kalamazoo MI 49007-3334 |
| Practice Telephone | 2695537037 |
| Practice Fax Number | 2693734951 |
| Mailing Telephone | 2695537037 |
| Mailing Fax Number | 2693734951 |
| Enumeration Date | 2014-12-08 |
| Last Update Date | 2014-12-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
4704177859 | MI | Ambulatory Health Care Facilities |
| Street Address |
418 W KALAMAZOO AVE |
| City | KALAMAZOO |
| State | MI |
| Zip Code | 49007-3334 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891781928 | Marianne M Joynt | Psychologist | 418 W Kalamazoo Ave, Kalamazoo, MI 49007-3334 | 2005-09-23 |
| 1568063642 | Mary Kathleen Huffman | Counselor | 418 W Kalamazoo Ave, Kalamazoo, MI 49007-3334 | 2020-11-04 |
| 1992331979 | Mahana Dolores Lugo Montenegro | Counselor | 418 W Kalamazoo Ave, Kalamazoo, MI 49007-3334 | 2020-03-21 |
| 1679136253 | Erin Lovett Hetrick | Counselor | 418 W Kalamazoo Ave, Kalamazoo, MI 49007-3334 | 2019-04-18 |
| 1700345626 | Mark Fletcher | Counselor | 418 W Kalamazoo Ave, Kalamazoo, MI 49007-3334 | 2019-03-19 |
| 1558840686 | Renee Lynne Peterman | Social Worker | 418 W Kalamazoo Ave, Kalamazoo, MI 49007-3334 | 2018-08-09 |
| 1831600824 | Gillian K Cupp | Registered Nurse | 418 W Kalamazoo Ave, Kalamazoo, MI 49007-3334 | 2017-10-17 |
| 1790201101 | Lisa Hahn | Psychologist | 418 W Kalamazoo Ave, Kalamazoo, MI 49007-3334 | 2017-08-17 |
| 1871035253 | Ronda Sancartier | Social Worker | 418 W Kalamazoo Ave, Kalamazoo, MI 49007-3334 | 2016-11-16 |
| 1588110613 | Carlos Adair Brown Jr. | Social Worker | 418 W Kalamazoo Ave, Kalamazoo, MI 49007-3334 | 2016-08-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881248342 | Whitney Kiel | Pharmacist | 601 John Street Suite M-020, Kalamazoo, MI 49007 | 2019-08-01 |
| 1316591571 | Laura Jedele | Physical Therapist | Bronson Healthcare Group, 601 John St, Kalamazoo, MI 49007 | 2019-07-26 |
| 1992209084 | Yvonne Marie Heltzel | Behavior Technician | 1826 N Rose St, Kalamazoo, MI 49007 | 2018-03-22 |
| 1396263943 | Travis Todd Turrell | Physician Assistant | 125 S Kalamazoo Mall Suite 204, Kalamazoo, MI 49007 | 2017-09-05 |
| 1619493186 | Sarah Zuspann | Nurse Practitioner | 601 John Street, Suite 100, Kalamazoo, MI 49007 | 2017-08-16 |
| 1720529779 | Dannison | Psychologist | 604 S Rose St, Kalamazoo, MI 49007 | 2017-03-10 |
| 1265988901 | Calee Dieleman | Social Worker | 610 South Burdick, Kalamazoo, MI 49007 | 2016-09-01 |
| 1508313099 | Arriel Julia Ampey | Social Worker | 414 S. Burdick St., Suite 200, Kalamazoo, MI 49007 | 2016-09-01 |
| 1043662745 | Holloway Marston | Psychologist | 717 W South St, Apt. #6, Kalamazoo, MI 49007 | 2016-07-06 |
| 1205280062 | Bronson At Home | Home Health | 601 John St Ste M-431, Kalamazoo, MI 49007 | 2016-04-19 |
| Find all providers in zip 49007 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
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|---|---|---|---|---|
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| 1720446438 | Katherine M. Walden, Md | Clinic/Center | 2019 Rambling Rd, Kalamazoo, MI 49008-1630 | 2016-02-09 |
| 1962807644 | Clinical Psychology Services, Pllc | Clinic/Center | 350 E Michigan Ave, Suite 135, Kalamazoo, MI 49007-3800 | 2014-10-24 |
| 1760448823 | Family & Children Services | Clinic/Center | 1608 Lake St, Kalamazoo, MI 49001-3170 | 2006-04-25 |
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| 1306484175 | Joy Counseling Services Pllc | Clinic/Center | 1000 W Maple Rd Ste 108, Troy, MI 48084-5306 | 2019-12-12 |
| 1922646751 | Tranquility Christian Counseling Inc | Clinic/Center | 24100 Southfield Rd Ste 320f, Southfield, MI 48075-2819 | 2019-12-11 |
| 1982241964 | Marquette Counseling Service | Clinic/Center | Lori Johnson, 112 W Washington Street Ste A, Marquette, MI 49855-3844 | 2019-12-09 |
| 1033769534 | Honor First | Clinic/Center | 25801 Harper Ave, Saint Clair Shores, MI 48081-2233 | 2019-09-17 |
| 1871140681 | Modern Family Counseling Center | Clinic/Center | 4195 Barcroft Way, West Bloomfield, MI 48323-1803 | 2019-08-26 |
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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.