CHERRY STREET SERVICES, INC. (NPI# 1124187471) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124187471 |
| Entity Type | Organization |
| Organization Name | CHERRY STREET SERVICES, INC. |
| Other Organization Name | OTTAWA HILLS HIGH SCHOOL HEALTH CENTER |
| Practice Address |
2055 Rosewood Ave Se Grand Rapids MI 49506-5248 |
| Mailing Address |
100 Cherry St Se Grand Rapids MI 49503-4526 |
| Practice Telephone | 6167765110 |
| Practice Fax Number | 6167765111 |
| Mailing Telephone | 6169658200 |
| Mailing Fax Number | 6169405366 |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2013-10-17 |
| 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 | 122300000X | Dentist | Dental Providers | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| N | 104100000X | Social Worker | MI | Behavioral Health & Social Service Providers | |
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Ottawa Hills High School Health Center | 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 |
| 1063586816 | Cherry Street Services, Inc. | Social Worker | 1215 Fulton St E, Grand Rapids, MI 49503-3849 | 2006-11-20 |
| 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 |
2055 ROSEWOOD AVE SE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49506-5248 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679946263 | Sanka Divic | Dental Hygienist | 2055 Rosewood Ave Se, Grand Rapids, MI 49506-5248 | 2015-11-05 |
| 1154570802 | Hanh T Nguyen | Physician Assistant | 2055 Rosewood Ave Se, Grand Rapids, MI 49506-5248 | 2008-09-17 |
| 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 | 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 | 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.