COMPREHENSIVE THERAPY CENTER INC (NPI# 1073658597) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073658597 |
| Entity Type | Organization |
| Organization Name | COMPREHENSIVE THERAPY CENTER INC |
| Practice Address |
2505 Ardmore St Se Grand Rapids MI 49506-4924 |
| Practice Telephone | 6165591054 |
| Practice Fax Number | 6165591056 |
| Mailing Telephone | 6165591054 |
| Mailing Fax Number | 6165591056 |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2014-05-12 |
| Authorized Official Name | JEAN C SILBAR (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6165591054 |
| Authorized Official Credential | MA, CCC-SLP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 235Z00000X | Speech-Language Pathologist | 7101000658 | MI | Speech, Language and Hearing Service Providers |
| N | 225X00000X | Occupational Therapist | 5201006103 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 103T00000X | Psychologist | 6301002435 | MI | Behavioral Health & Social Service Providers |
| Y | 251V00000X | Voluntary or Charitable | 766216 | MI | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4866078 | 05 | |
| MI | MOLINA | QMXPR0018904 | 01 |
| Street Address |
2505 ARDMORE ST SE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49506-4924 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891345013 | Linda Marie Healy | Occupational Therapist | 2505 Ardmore St Se, Grand Rapids, MI 49506-4924 | 2019-09-19 |
| 1437702990 | Sarah Grace Miller | Dance Therapist | 2505 Ardmore St Se, Grand Rapids, MI 49506-4924 | 2019-07-23 |
| 1205494010 | Taylor Villarreal | Speech-Language Pathologist | 2505 Ardmore St Se, Grand Rapids, MI 49506-4924 | 2019-06-05 |
| 1275074569 | Brianne Augustine | Speech-Language Pathologist | 2505 Ardmore St Se, Grand Rapids, MI 49506-4924 | 2017-03-20 |
| 1801336110 | Allison Soukup | Occupational Therapist | 2505 Ardmore St Se, Grand Rapids, MI 49506-4924 | 2017-03-06 |
| 1558746735 | Jessica Vandenbrink | Speech-Language Pathologist | 2505 Ardmore St Se, Grand Rapids, MI 49506-4924 | 2015-07-29 |
| 1902293947 | John Woods | Psychologist | 2505 Ardmore St Se, Grand Rapids, MI 49506-4924 | 2015-04-16 |
| 1306231378 | Alice Donahue | Occupational Therapist | 2505 Ardmore St Se, Grand Rapids, MI 49506-4924 | 2015-04-06 |
| 1700277530 | Rebecca Beebe | Speech-Language Pathologist | 2505 Ardmore St Se, Grand Rapids, MI 49506-4924 | 2015-02-16 |
| 1619370491 | Valerie Wieten | Speech-Language Pathologist | 2505 Ardmore St Se, Grand Rapids, MI 49506-4924 | 2014-10-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356954705 | Mckenna Shank | Technician | 1409 E Beltline Ave Se, Grand Rapids, MI 49506 | 2020-08-26 |
| 1750917969 | Meghan Elizabeth Southwell | Social Worker | Counseling Center of West Michigan, 360 East Beltline Ave Ne Suite 100, Grand Rapids, MI 49506 | 2020-03-19 |
| 1356876536 | Lisa Finkbeiner | Chiropractor | 1324 Lake Dr Se Ste 1, Grand Rapids, MI 49506 | 2017-04-26 |
| 1447622964 | Ashley Robinson | Rehabilitation Practitioner | 1490 East Beltline Ave, Grand Rapids, MI 49506 | 2015-10-23 |
| 1770951584 | Stuart Segal | Behavioral Analyst | 1415 Wealthy St Se Apt 312, Grand Rapids, MI 49506 | 2015-09-10 |
| 1922476373 | Elizabeth Taylor | Nurse Practitioner | 2255 Wealthy Dr., Grand Rapids, MI 49506 | 2015-09-02 |
| 1780066092 | Carole Walters Counseling | Social Worker | 959 Wealthy St. Se, Grand Rapids, MI 49506 | 2015-06-23 |
| 1053792697 | Rosemary F. Trimpe | Social Worker | 4255 Kalamazoo Se, Grand Rapids, MI 49506 | 2015-06-09 |
| 1164809919 | Gary James | Rehabilitation Practitioner | 1490 E. Beltline Se, Grand Rapids, MI 49506 | 2015-04-30 |
| 1275925315 | Paul Cole | Counselor | 1101 Ball Ave. .se., Grand Rapids, MI 49506 | 2015-02-26 |
| Find all providers in zip 49506 | ||||
| Taxonomy Code | 251V00000X |
| Grouping | Agencies |
| Classification | Voluntary or Charitable |
| Definition to come... |
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| Find all providers with the same taxonomy | ||||
| City | GRAND RAPIDS |
| Zip Code | 49506 |
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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.