HOPE NETWORK BEHAVIORAL HEALTH SERVICES (NPI# 1104128602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104128602 |
Entity Type | Organization |
Organization Name | HOPE NETWORK BEHAVIORAL HEALTH SERVICES |
Other Organization Name | CENTER FOR AUTISM |
Practice Address |
3361 36th Street Grand Rapids MI 49512 |
Mailing Address |
3075 Orchard Vista Dr Se Grand Rapids MI 49546-7069 |
Practice Telephone | 6169422522 |
Mailing Telephone | 6163018000 |
Enumeration Date | 2010-12-03 |
Last Update Date | 2020-02-10 |
Authorized Official Name | TIMOTHY BECKER (COO) |
Authorized Official Telephone | 6163018000 |
Is Organization Subpart | Y |
Parent Organization Name | HOPE NETWORK BEHAVIORAL HEALTH SERVICES |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
CENTER FOR AUTISM | Doing Business As Name - Organization |
Address | Telephone Number | Fax Number |
---|---|---|
11172 Adams St, Holland, MI 494239163 | 6169422522 | |
1256 Walker Ave Nw, Grand Rapids, MI 495044067 | 6169422522 | |
2875 Eyde Pkwy Ste 100, East Lansing, MI 488235368 | 8449690252 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316110406 | Hope Network Behavioral Health Services | Community Based Residential Treatment Facility, Mental Illness | 45964 Brentwood St, Macomb, MI 48042-5410 | 2008-04-09 |
1629113089 | Hope Network Behavioral Health Services | Community Based Residential Treatment Facility, Mental Illness | 1242 Broadway Ave Nw, Grand Rapids, MI 49504-3207 | 2007-02-21 |
1043295934 | Hope Network Behavioral Health Services | Clinic/Center | 17160 130th Ave, Nunica, MI 49448-9450 | 2005-12-13 |
1710410154 | Hope Network Behavioral Health Services | Clinic/Center | 11652 W Grand River Ave, Lowell, MI 49331-8465 | 2017-04-04 |
1487193298 | Hope Network Behavioral Health Services | Psychologist | 385 Leonard St Ne, Grand Rapids, MI 49503-1129 | 2017-02-14 |
1205985462 | Hope Network Behavioral Health Services | Psychiatric Residential Treatment Facility | 385 Leonard St Ne, Grand Rapids, MI 49503-1129 | 2007-01-09 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | HOPE NETWORK BEHAVIORAL HEALTH SERVICES | 3075 Orchard Vista Dr Se, Grand Rapids, MI 49546-7069 |
Street Address |
3361 36TH STREET |
City | GRAND RAPIDS |
State | MI |
Zip Code | 49512 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649757071 | St. Lukes Primary Care | Family Medicine | 5300 Patterson Ave Se Ste 1-d, Grand Rapids, MI 49512 | 2018-07-27 |
1013493733 | Pharmascript of Michigan Gr LLC | Pharmacy | 2661 29th St. Se Suite A, Grand Rapids, MI 49512 | 2018-07-16 |
1245736040 | Cassandra Slater | Technician, Other | 2925 Breton Rd Se, Grand Rapids, MI 49512 | 2018-04-02 |
1235632704 | John Mitchell Tanja | Occupational Therapist | 3350 Broadmoor Avenue Se, Grand Rapids, MI 49512 | 2018-03-12 |
1952829855 | Sarah Harlow | Physical Therapist | 2951 44th St Se, Kentwood, MI 49512 | 2017-08-31 |
1194248815 | Melinda Huizenga | Registered Nurse | 5300 Patterson Ave Se Ste 125, Grand Rapids, MI 49512 | 2017-07-25 |
1659812931 | Frantzie Pierre | Counselor | 3300 S Creek Dr Se Apt 201, Kentwood, MI 49512 | 2017-03-20 |
1518282631 | Melanie Anne Hogeterp | Social Worker | 3180 East Paris Se, Kentwood, MI 49512 | 2010-03-31 |
1013147495 | Ardean Beth Brock-vanderwall | Counselor | 2828 Kraft Ave., Grand Rapids, MI 49512 | 2009-07-20 |
1427294909 | Marcia Rappleye | Counselor | 3250 36th St Se, Grand Rapids, MI 49512 | 2009-01-05 |
Find all providers in zip 49512 |
Taxonomy Code | 2084P0804X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Child & Adolescent Psychiatry |
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164712055 | Tatjana Maric | Psychiatry & Neurology | 420 Baltimore Dr Ne, Grand Rapids, MI 49503-3934 | 2011-04-12 |
1033341888 | Subodh Jain | Psychiatry & Neurology | 2750 E Beltline Ave Ne Fl 3, Grand Rapids, MI 49525-8614 | 2009-08-12 |
1245486919 | Josharon Mutchler, Md, Pllc | Psychiatry & Neurology | 2035 28th St Se, Suite P, Grand Rapids, MI 49508-1594 | 2008-08-14 |
1093911505 | Jennifer Bowden | Psychiatry & Neurology | 35 Michigan St Ne Ste 5201, Grand Rapids, MI 49503 | 2007-06-22 |
1265650667 | Elizabeth Kowal | Psychiatry & Neurology | 35 Michigan St Ne Ste 5201, Grand Rapids, MI 49503-2514 | 2007-04-23 |
1063575744 | Janice K Coates | Psychiatry & Neurology | 100 Michigan St Ne, Grand Rapids, MI 49503-2560 | 2006-12-18 |
1912081589 | Dhanashree Mahesh | Psychiatry & Neurology | 1055 Medical Park Dr Se, Grand Rapids, MI 49546-3607 | 2006-10-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316376056 | Esmaeil Emami | Psychiatry & Neurology | 2955 Franklin Rd, Bloomfield Hills, MI 48302-0917 | 2013-11-04 |
1154760312 | Samantha Fugate Kennedy | Psychiatry & Neurology | 909 Fee Rd Ste B119, East Lansing, MI 48824 | 2013-06-21 |
1407199961 | David Donald Krohn | Psychiatry & Neurology | 563 Highland Park Dr, Traverse City, MI 49686-2863 | 2013-04-03 |
1972893824 | Katherine Barbara Krive | Psychiatry & Neurology | 801 S Waverly Rd Ste 100, Lansing, MI 48917-4200 | 2011-04-12 |
1295056653 | Veronica Yap Tan | Psychiatry & Neurology | 23354 Portage Way, Apt. 2212, Novi, MI 48375 | 2010-06-18 |
1548588874 | Katie Alanna Keller | Psychiatry & Neurology | 79 Alexandrine West, Detroit, MI 48201 | 2010-05-11 |
1538390133 | Behavioral Health Associates Pllc | Psychiatry & Neurology | 19500 Middlebelt Rd, Suite 350e, Livonia, MI 48152-2196 | 2009-07-30 |
1235375775 | Kristine Baker | Psychiatry & Neurology | 721 Cherokee St, Traverse City, MI 49684-1401 | 2009-01-06 |
1689820078 | Margaret Mary Casey | Psychiatry & Neurology | 1326 Saint Antoine St, Detroit, MI 48226-2301 | 2008-08-18 |
1992951693 | Saadia Nosheen | Psychiatry & Neurology | 4250 Plymouth Rd Spc 5766, University of Michigan, Department of Psychiatry, Ann Arbor, MI 48109-2700 | 2008-08-13 |
Find all providers with the same taxonomy |
City | GRAND RAPIDS |
Zip Code | 49512 |
Please comment or provide details below to improve the information on HOPE NETWORK BEHAVIORAL HEALTH SERVICES.
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.