SUSAN MARIE DILSWORTH (NPI# 1063719037) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063719037 |
| Entity Type | Individual |
| Full Name | SUSAN MARIE DILSWORTH |
| Credential | PHD |
| Practice Address |
6189 Lake Michigan Dr Allendale MI 49401-9244 |
| Practice Telephone | 8779324446 |
| Practice Fax Number | 6165886046 |
| Mailing Telephone | 8779324446 |
| Enumeration Date | 2011-02-28 |
| Last Update Date | 2017-06-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
6301013131 | MI | Behavioral Health & Social Service Providers |
| Street Address |
6189 LAKE MICHIGAN DR |
| City | ALLENDALE |
| State | MI |
| Zip Code | 49401-9244 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790115590 | Hearts Journey Wellness Center | Psychologist | 6189 Lake Michigan Dr, Allendale, MI 49401-9244 | 2013-11-15 |
| 1619214699 | Heart's Journey Wellness Center, LLC | Psychologist | 6189 Lake Michigan Dr, Allendale, MI 49401-9244 | 2013-01-10 |
| 1689922825 | Heart's Journey Wellness Center | Community/Behavioral Health | 6189 Lake Michigan Dr, Allendale, MI 49401-9244 | 2012-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336668615 | Zoe Madeline Menard | Behavior Technician | 5068 West Campus Drive, D28, Allendale, MI 49401 | 2017-09-18 |
| 1396123964 | Lauren Meredith Warner | Family Medicine | 11160 W J Presley Parkway, Suite 100, Allendale, MI 49401 | 2015-05-14 |
| 1871709600 | Jan Ellen Taylor Schultz | Social Worker | 3925 Hagan Street, Suite 203, Bloomington, IN 49401 | 2007-05-16 |
| 1881814630 | Allendale Eye Care, LLC | Optometrist | 11301 Commerce Rd., Suite A, Allendale, MI 49401 | 2007-04-26 |
| 1609807627 | Kevin R Brader | Obstetrics & Gynecology | 11160 Wj Presley Pkwy, Allendale, MI 49401 | 2006-07-06 |
| 1245204262 | Meghan Marea Berry | Specialist | Grand Valley State University, 1 Campus Dr, Allendale, MI 49401 | 2006-02-15 |
| 1669446704 | Brian Michael Hatzel | Specialist/Technologist | 1 Campus Drive, Grand Valley State University, 184-b Fieldhouse, Allendale, MI 49401 | 2006-02-15 |
| 1396230181 | Marilyn J Helmers | Occupational Therapist | 11007 Radcliff Dr, Allendale, MI 49401 | 2018-06-25 |
| 1992227789 | Ryan Scott Carlson | Nurse Practitioner | 11160 W J Presley Parkway, Suite 100, Allendale, MI 49401 | 2017-07-12 |
| 1750826343 | Hannah Jo Bader | Physician Assistant | 10383 42nd Ave, Allendale, MI 49401 | 2017-01-05 |
| Find all providers in zip 49401 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790115590 | Hearts Journey Wellness Center | Psychologist | 6189 Lake Michigan Dr, Allendale, MI 49401-9244 | 2013-11-15 |
| 1619214699 | Heart's Journey Wellness Center, LLC | Psychologist | 6189 Lake Michigan Dr, Allendale, MI 49401-9244 | 2013-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245831296 | Reema S. Beri, Phd, LLC | Psychologist | 49410 Waterstone Estates Cir, Northville, MI 48168-4900 | 2020-11-05 |
| 1952901225 | Northerner Psychological Services, Pllc | Psychologist | 1869 Melbourne St, Birmingham, MI 48009-1160 | 2020-10-27 |
| 1083213631 | Robert J. Sheppard Phd Pllc | Psychologist | 8339 Brookwood Dr, Portage, MI 49024-5207 | 2020-10-23 |
| 1952900037 | Jamila Simone Steward | Psychologist | 31275 Northwestern Hwy Ste 216, Farmington Hills, MI 48334-2570 | 2020-10-20 |
| 1992303465 | Madison Bryant | Psychologist | 1231 S Cass Lake Rd, Waterford, MI 48328-4739 | 2020-10-15 |
| 1730787664 | Athal Yako | Psychologist | 18230 Teresa Dr, Macomb, MI 48044-1681 | 2020-10-13 |
| 1538767678 | Up Telehealth, LLC | Psychologist | 228 W Washington St Ste 7, Marquette, MI 49855-4330 | 2020-10-12 |
| 1881292076 | Meaningful Change: Clinical & Consultation Psychology, Pllc | Psychologist | 1861 Woodland Dr, Mount Pleasant, MI 48858-1298 | 2020-10-11 |
| 1902404122 | Dorrean Riley | Psychologist | 19189 Lexington, Redford, MI 48240-2618 | 2020-10-09 |
| 1174130850 | Timber Creek Counseling West LLC | Psychologist | 2976 Ivanrest Ave Sw Ste 215, Grandville, MI 49418-1440 | 2020-09-28 |
| Find all providers with the same taxonomy | ||||
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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.