CHERRY STREET SERVICES, INC. (NPI# 1063586816) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063586816 |
| Entity Type | Organization |
| Organization Name | CHERRY STREET SERVICES, INC. |
| Other Organization Name | THE SALVATION ARMY BOOTH CLINIC |
| Practice Address |
1215 Fulton St E Grand Rapids MI 49503-3849 |
| Mailing Address |
100 Cherry St Se Grand Rapids MI 49503-4526 |
| Practice Telephone | 6164599468 |
| Practice Fax Number | 6164597223 |
| Mailing Telephone | 6169658200 |
| Mailing Fax Number | 6169405366 |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2012-10-19 |
| Authorized Official Name | CHRIS SHEA (CEO) |
| Authorized Official Telephone | 6167762120 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| N | 122300000X | Dentist | Dental Providers | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | FACILITY NUMBER | 231857 | 01 |
| Other Name | Type Code |
|---|---|
| The Salvation Army Booth Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841449105 | Cherry Street Services, Inc. | Dentist | 101 Sheldon Blvd Se Ste 1, Grand Rapids, MI 49503-4950 | 2008-09-11 |
| 1710047303 | Cherry Street Services, Inc. | Social Worker | 1720 Plainfield Nw, Grand Rapids, MI 49505-4705 | 2006-12-12 |
| 1982764643 | Cherry Street Services, Inc. | Social Worker | 1800 Tremont Blvd Nw, Grand Rapids, MI 49504-4868 | 2006-12-11 |
| 1124187471 | Cherry Street Services, Inc. | Dentist | 2055 Rosewood Ave Se, Grand Rapids, MI 49506-5248 | 2006-12-06 |
| 1770656605 | Cherry Street Services, Inc. | Pediatrics | 2125 Buchanan Sw, Grand Rapids, MI 49507 | 2006-11-16 |
| 1891867495 | Cherry Street Services, Inc. | Clinical Neuropsychologist | 669 Stocking Ave Nw, Grand Rapids, MI 49504-5176 | 2006-11-15 |
| 1215414800 | Cherry Street Services, Inc. | Social Worker | 490 Century Ln, Holland, MI 49423 | 2018-07-26 |
| 1336399047 | Cherry Street Services, Inc. | Dentist | 101 Sheldon Blvd Se, Grand Rapids, MI 49503-4262 | 2008-09-30 |
| 1689731507 | Cherry Street Services, Inc. | Registered Nurse | 550 Cherry St Se, Grand Rapids, MI 49503-4748 | 2007-01-02 |
| 1669530986 | Cherry Street Services, Inc. | Counselor | 100 Cherry St Se, Grand Rapids, MI 49503-4526 | 2006-12-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Cherry Street Services, Inc. | 1029 E 8th Ave, 1204, Denver, CO 80218 |
| New York State Corporations | CHERRY STREET SERVICES, INC. | 525 Bayview Ave, Inwood, Ny 11096 |
| Street Address |
1215 FULTON ST E |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49503-3849 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568084226 | Autumn Putnam | Counselor | 1215 Fulton St E, Grand Rapids, MI 49503-3849 | 2020-05-15 |
| 1508402348 | Marsha Dykstra | Counselor | 1215 Fulton St E, Grand Rapids, MI 49503-3849 | 2019-11-26 |
| 1982264461 | Laura Kay Lentz | Licensed Practical Nurse | 1215 Fulton St E, Grand Rapids, MI 49503-3849 | 2019-06-18 |
| 1255899324 | Patrick Ryan Phillips | Licensed Practical Nurse | 1215 Fulton St E, Grand Rapids, MI 49503-3849 | 2019-03-07 |
| 1548728611 | Thomas Patrick Harrison | Licensed Practical Nurse | 1215 Fulton St E, Grand Rapids, MI 49503-3849 | 2019-03-07 |
| 1386113512 | Marcia Lynn Moreen | Registered Nurse | 1215 Fulton St E, Grand Rapids, MI 49503-3849 | 2018-11-16 |
| 1992290514 | Kari A Harburn | Psychologist | 1215 Fulton St E, Grand Rapids, MI 49503 | 2018-06-26 |
| 1558854646 | Joseph L Strain | Counselor | 1215 Fulton St E, Grand Rapids, MI 49503-3849 | 2018-06-13 |
| 1316438617 | Margaret Donnelly Kendrick | Social Worker | 1215 Fulton St E, Grand Rapids, MI 49503-3849 | 2018-05-22 |
| 1922596634 | Kelly Ann Bigger | Registered Nurse | 1215 Fulton St E, Grand Rapids, MI 49503-3849 | 2018-04-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801496195 | Airway Oxygen, Inc. | Durable Medical Equipment & Medical Supplies | Lemmen Holton Cancer Pavilion, 145 Michigan St Ne Ste 3400, Grand Rapids, MI 49503 | 2020-10-27 |
| 1730707282 | Adriana Molina-schmuker | Counselor | 901 Eastern Avenue Ne, Grand Rapids, MI 49503 | 2020-07-10 |
| 1477176949 | Kimberly Buskirk | Specialist | 1131 Ionia Ava Nw, Grand Rapids, MI 49503 | 2020-05-19 |
| 1124647805 | Jared Host | Speech-Language Pathologist | Mercy Health Hauenstein Neuroscience Center 220 Cherry, Grand Rapids, MI 49503 | 2020-04-13 |
| 1265061378 | Heather Gladfelter | Student in an Organized Health Care Education/Training Program | 339 Barclay Ave Ne Ste 300, Grand Rapids, MI 49503 | 2020-04-02 |
| 1194368647 | Amy Jo Arends | Nurse Practitioner | 350 Lafayette S.e., Suite 301, Grand Rapids, MI 49503 | 2019-10-28 |
| 1376185199 | Beth Arce | Occupational Therapist | 245 Cherry St Se Suite 302, Grand Rapids, MI 49503 | 2019-10-14 |
| 1295387256 | Althea Ziolkowski | Licensed Practical Nurse | Salvation Army Turning Point Programs, 1215 Fulton St E, Grand Rapids, MI 49503 | 2019-07-10 |
| 1790340719 | Heather Anne Fox | Occupational Therapist | Marywood, 111 Lakeside Dr Ne, Grand Rapids, MI 49503 | 2019-05-06 |
| 1184182883 | April L Kaiserlian | Social Worker | 983 Spaulding Ave Ne, Ada, MI 49503 | 2019-03-12 |
| Find all providers in zip 49503 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083239974 | Mercy Health Partners | Family Medicine | 826 Parchment Dr Se Ste 210, Grand Rapids, MI 49546-2307 | 2020-06-16 |
| 1740810563 | Spectrum Health Primary Care Partners | Family Medicine | 435 Ionia Ave Sw, Grand Rapids, MI 49503-5161 | 2020-01-21 |
| 1932748050 | Alexander Corcoran Pa-c LLC | Family Medicine | 2340 College Ave Se, Grand Rapids, MI 49507-3108 | 2020-01-06 |
| 1649757071 | St. Lukes Primary Care | Family Medicine | 5300 Patterson Ave Se Ste 1-d, Grand Rapids, MI 49512 | 2018-07-27 |
| 1619463775 | Zlex, Pllc | Family Medicine | 847 Parchment Dr Se Ste 100, Grand Rapids, MI 49546-2303 | 2018-07-02 |
| 1558856518 | Leland Cary Gyr | Family Medicine | 25 Michigan St Ne Ste 5300, Grand Rapids, MI 49503-2515 | 2018-06-22 |
| 1982126355 | Jeffrey Dufresne | Family Medicine | 300 Lafayette Ave. Se, Grand Rapids, MI 49503 | 2017-07-07 |
| 1386165157 | Samantha V Mcpharlin | Family Medicine | 300 Lafayette Ave Se Ste 400, Grand Rapids, MI 49503 | 2017-07-03 |
| 1639699481 | Andrew R Izzo | Family Medicine | 3200 Eagle Park Dr Ne Ste 102, Grand Rapids, MI 49525-7057 | 2017-06-22 |
| 1871908970 | Marc Arenas | Family Medicine | 245 Cherry St Se Ste 200, Grand Rapids, MI 49503 | 2014-06-26 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49503 |
Please comment or provide details below to improve the information on CHERRY STREET SERVICES, INC..
| 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.