SANDRA JEAN WYNN-STELT (NPI# 1033398581) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033398581 |
| Entity Type | Individual |
| Full Name | SANDRA JEAN WYNN-STELT |
| Credential | MA LLP BCBA |
| Practice Address |
680 3 Mile Rd Nw Suite C Grand Rapids MI 49544-8218 |
| Practice Telephone | 6166473460 |
| Practice Fax Number | 6166473467 |
| Mailing Telephone | 6166473460 |
| Mailing Fax Number | 6166473467 |
| Enumeration Date | 2007-11-01 |
| Last Update Date | 2020-04-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
6301008405 | MI | Behavioral Health & Social Service Providers |
| Y | 103TM1800X |
Psychologist Specialization: Mental Retardation & Developmental Disabilities |
6301008405 | MI | Behavioral Health & Social Service Providers |
| N | 103K00000X | Behavioral Analyst | 1-14-15612 | MI | Behavioral Health & Social Service Providers |
| Street Address |
680 3 MILE RD NW SUITE C |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49544-8218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235116872 | Alpine Family Podiatry PC | Podiatrist | 680 3 Mile Rd Nw, Grand Rapids, MI 49544-8218 | 2005-12-24 |
| 1265974976 | Kimberly Sue Lichon-tufer | Social Worker | 680 3 Mile Rd Nw, Suite C, Grand Rapids, MI 49544-8218 | 2016-11-11 |
| 1992154769 | Northpointe Family Dental | Dentist | 680 3 Mile Rd Nw, Grand Rapids, MI 49544-8218 | 2016-06-12 |
| 1386017499 | Stephanie Exton | Behavioral Analyst | 680 3 Mile Rd Nw, Suite C, Grand Rapids, MI 49544-8218 | 2015-11-11 |
| 1669884169 | Jennifer Barabas | Social Worker | 680 3 Mile Rd Nw, Suite C, Grand Rapids, MI 49544-8218 | 2014-06-02 |
| 1407103047 | Susan F. Jongekryg | Social Worker | 680 3 Mile Rd Nw, Suite C, Grand Rapids, MI 49544-8218 | 2012-08-14 |
| 1427288000 | Carrie Louise Labarge | Psychologist | 680 3 Mile Rd Nw, Suite C, Grand Rapids, MI 49544-8218 | 2009-07-17 |
| 1366594897 | Laura Velzen Triezenberg | Social Worker | 680 3 Mile Rd Nw, Suite C, Grand Rapids, MI 49544-8218 | 2007-01-17 |
| 1649208018 | Victoria L Wilson | Psychologist | 680 3 Mile Rd Nw, Suite C, Grand Rapids, MI 49544-8218 | 2006-06-28 |
| 1154308724 | Michael G Meyers | Podiatrist | 680 3 Mile Rd Nw, Grand Rapids, MI 49544-8218 | 2005-12-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437764511 | Titiana Shanee Richardson | Social Worker | 113 Lake Michigan Drive Northwest, Grand Rapids, MI 49544 | 2020-09-15 |
| 1699317792 | Leah Grace Nesburg | Speech-Language Pathologist | 600 3 Mile Road Nw, Suite 102, Walker, MI 49544 | 2019-10-10 |
| 1316467954 | Hendrik Vanholsbeeck | Dentist | 2515 Alpine Ave Nw # A, Grand Rapids, MI 49544 | 2017-06-25 |
| 1467988584 | Leah Feenstra | Behavior Technician | 668 3 Mile Nw, Grand Rapids, MI 49544 | 2017-05-10 |
| 1760920698 | Heidi Catherine Stultz-griffey | Pharmacist | 970 4 Mile Rd Nw Apt 1d, Grand Rapids, MI 49544 | 2017-02-12 |
| 1336591791 | Nicole Totten | Dentist | 3320 Alpine Ave., Grand Rapids, MI 49544 | 2016-07-11 |
| 1255789145 | Lucas David Kelley | Technician, Other | 668 3 Mile Ave Nw, Suite 2, Grand Rapids, MI 49544 | 2016-06-01 |
| 1144611666 | Stephen Kornoely | Social Worker | 2118 3 Mile Road Nw, Grand Rapids, MI 49544 | 2015-02-06 |
| 1023368305 | Brian William Rogers | Registered Nurse | 712 North Center Dr. Nw, Grand Rapids, MI 49544 | 2012-09-14 |
| 1477885325 | Wilson and Wynn Interventions | Community/Behavioral Health | 680 Three Mile Nw, Suite 150, Grand Rapids, MI 49544 | 2010-02-03 |
| Find all providers in zip 49544 | ||||
| Taxonomy Code | 103TM1800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Mental Retardation & Developmental Disabilities |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447802111 | Natalia Viera-vanarkel | Psychologist | 3017 Plainfield Ave Ne, Grand Rapids, MI 49505-3258 | 2019-07-12 |
| 1124419973 | Amy Sikkenga | Psychologist | 4255 Kalamazoo Ave Se, Grand Rapids, MI 49508-3638 | 2015-02-16 |
| 1982009387 | Michael Fischer | Psychologist | O-1859 Lake Michigan Dr Nw, Grand Rapids, MI 49534-9578 | 2014-10-28 |
| 1063817583 | Quinton Zamarripa | Psychologist | O-1859 Lake Michigan Dr Nw, Grand Rapids, MI 49534-9578 | 2014-10-27 |
| 1699170126 | Anne Hill | Psychologist | O-1859 Lake Michigan Dr Nw, Grand Rapids, MI 49534-9578 | 2014-10-27 |
| 1730584251 | Jordan Koenig | Psychologist | O-1859 Lake Michigan Dr Nw, Grand Rapids, MI 49534-9578 | 2014-10-27 |
| 1619372133 | Kaitlyn Zandbergen | Psychologist | O-1859 Lake Michigan Dr Nw, Grand Rapids, MI 49534-9578 | 2014-10-27 |
| 1780089391 | Heather Hines | Psychologist | O-1859 Lake Michigan Dr Nw, Grand Rapids, MI 49534-9578 | 2014-10-24 |
| 1396140919 | Dan Gautz | Psychologist | O-1859 Lake Michigan Dr Nw, Grand Rapids, MI 49534-9578 | 2014-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396363933 | Parents Zone, LLC | Psychologist | 23481 Seneca Street, Oak Park, MI 48237-2245 | 2020-07-09 |
| 1477092054 | Jeremy Ladronka | Psychologist | 640 Seminole Rd, Norton Shores, MI 49441-4720 | 2017-02-16 |
| 1164965877 | Amy Breckon | Psychologist | 8201 Anglers Ln, Hudsonville, MI 49426-8641 | 2016-11-29 |
| 1356746879 | Abby Grant | Psychologist | 146 W 23rd St, Holland, MI 49423-4709 | 2014-10-27 |
| 1497179170 | Detroit Wayne Mental Health Authority | Psychologist | 707 W. Milwaukee, 3rd Floor Finance, Detroit, MI 48202-2599 | 2014-02-14 |
| 1053735498 | Amary Lehto | Psychologist | 649 E Boston Blvd, Detroit, MI 48202-1322 | 2014-02-05 |
| 1750713210 | Janet Irene Mcalpine | Psychologist | 21650 Behrendt Ave, Warren, MI 48091-2781 | 2013-08-06 |
| 1114365277 | Angela Nicole Oshkaloff | Psychologist | 6594 Perryville Rd, Holly, MI 48442-9499 | 2013-06-11 |
| 1750641452 | Spencer Manor Living Well | Psychologist | 2219 S Term St, Burton, MI 48519-1030 | 2012-05-29 |
| 1619204914 | Anitha Mummineni | Psychologist | 50889 Briar Ridge Lane, Northville, MI 48168-3215 | 2009-11-06 |
| Find all providers with the same taxonomy | ||||
| City | GRAND RAPIDS |
| Zip Code | 49544 |
Please comment or provide details below to improve the information on SANDRA JEAN WYNN-STELT.
| 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.