AMY SIKKENGA (NPI# 1124419973) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124419973 |
| Entity Type | Individual |
| Full Name | AMY SIKKENGA |
| Credential | MA,, LLP |
| Practice Address |
4255 Kalamazoo Ave Se Grand Rapids MI 49508-3638 |
| Mailing Address |
Po Box 68327 Grand Rapids MI 49516-8327 |
| Practice Telephone | 6164550960 |
| Practice Fax Number | 6164557324 |
| Mailing Telephone | 6167740538 |
| Mailing Fax Number | 6167740328 |
| Enumeration Date | 2015-02-16 |
| Last Update Date | 2015-02-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TM1800X |
Psychologist Specialization: Mental Retardation & Developmental Disabilities |
6301007166 | MI | Behavioral Health & Social Service Providers |
| Street Address |
4255 KALAMAZOO AVE SE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49508-3638 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154403467 | Thresholds Inc | Case Management | 4255 Kalamazoo Ave Se, Grand Rapids, MI 49508-3638 | 2006-10-19 |
| 1174186167 | Julianna Marie Katerberg | Social Worker | 4255 Kalamazoo Ave Se, Grand Rapids, MI 49508-3638 | 2019-04-16 |
| 1083170526 | Annette Shumay | Social Worker | 4255 Kalamazoo Ave Se, Grand Rapids, MI 49508-3638 | 2019-02-20 |
| 1679039119 | Lisa Mueller | Social Worker | 4255 Kalamazoo Ave Se, Grand Rapids, MI 49508-3638 | 2019-02-20 |
| 1174092068 | Emily E Elliott | Social Worker | 4255 Kalamazoo Ave Se, Grand Rapids, MI 49508-3638 | 2018-11-20 |
| 1902397920 | Laura Wrubel | Social Worker | 4255 Kalamazoo Ave Se, Grand Rapids, MI 49508-3638 | 2018-05-24 |
| 1023510880 | Deshalan Monae Bennett-lucas | Social Worker | 4255 Kalamazoo Ave Se, Grand Rapids, MI 49508-3638 | 2018-03-07 |
| 1285153304 | Ebone Abrams | Social Worker | 4255 Kalamazoo Ave Se, Grand Rapids, MI 49508-3638 | 2017-09-11 |
| 1770009433 | Natalie Poisson | Social Worker | 4255 Kalamazoo Ave Se, Grand Rapids, MI 49508-3638 | 2017-08-15 |
| 1578084117 | Jenny Winters | Social Worker | 4255 Kalamazoo Ave Se, Grand Rapids, MI 49508-3638 | 2017-07-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063012367 | Jenna Brianne Labrecque | Social Worker | 2013 East Castle Dr, Suite B, Kentwood, MI 49508 | 2020-10-27 |
| 1881208809 | Morgan Paige Ballmann | Physical Therapy Assistant | 4150 Kalamazoo Ave. Se, Grand Rapids, MI 49508 | 2020-09-08 |
| 1699385740 | Jodie Lynn Robertson | Prosthetist | 3720 Eastern Se, Grand Rapids, MI 49508 | 2020-08-04 |
| 1003460874 | Derm Institute of West Michigan Plc | Dermatology | 6750 Kalamazoo Ave, Suites C & D, Grand Rapids, MI 49508 | 2019-07-30 |
| 1255801833 | Ikeia Tynika Hill | Licensed Practical Nurse | 1627 Lotus, Grand Rapids, MI 49508 | 2018-11-27 |
| 1326556838 | Araceli Contreras-hernandez | Behavior Technician | 3566 Eastern Ave. Se, Kentwood, MI 49508 | 2018-01-18 |
| 1881102788 | A Grand Rapids Senior Social Exchange and Adult Day Center | In Home Supportive Care | 3212 Eastern Ave Se, Grand Rapids, MI 49508 | 2018-01-14 |
| 1952827107 | Nupoint Services LLC | Clinic/Center | 1620 44th Street Se, Grand Rapids, MI 49508 | 2017-08-19 |
| 1710427695 | Embracing Life Afc | Custodial Care Facility | 1405 Forrester St S.e., Grand Rapids, MI 49508 | 2017-02-27 |
| 1083162838 | Katherine Berenice Campoverde Arevalo | Technician, Other | 1157 Billigs Ct Se, Ap# 1a, Grand Rapids, MI 49508 | 2016-09-21 |
| Find all providers in zip 49508 | ||||
| Taxonomy Code | 103TM1800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Mental Retardation & Developmental Disabilities |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447802111 | Natalia Viera-vanarkel | Psychologist | 3017 Plainfield Ave Ne, Grand Rapids, MI 49505-3258 | 2019-07-12 |
| 1982009387 | Michael Fischer | Psychologist | O-1859 Lake Michigan Dr Nw, Grand Rapids, MI 49534-9578 | 2014-10-28 |
| 1063817583 | Quinton Zamarripa | Psychologist | O-1859 Lake Michigan Dr Nw, Grand Rapids, MI 49534-9578 | 2014-10-27 |
| 1699170126 | Anne Hill | Psychologist | O-1859 Lake Michigan Dr Nw, Grand Rapids, MI 49534-9578 | 2014-10-27 |
| 1730584251 | Jordan Koenig | Psychologist | O-1859 Lake Michigan Dr Nw, Grand Rapids, MI 49534-9578 | 2014-10-27 |
| 1619372133 | Kaitlyn Zandbergen | Psychologist | O-1859 Lake Michigan Dr Nw, Grand Rapids, MI 49534-9578 | 2014-10-27 |
| 1780089391 | Heather Hines | Psychologist | O-1859 Lake Michigan Dr Nw, Grand Rapids, MI 49534-9578 | 2014-10-24 |
| 1396140919 | Dan Gautz | Psychologist | O-1859 Lake Michigan Dr Nw, Grand Rapids, MI 49534-9578 | 2014-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396363933 | Parents Zone, LLC | Psychologist | 23481 Seneca Street, Oak Park, MI 48237-2245 | 2020-07-09 |
| 1477092054 | Jeremy Ladronka | Psychologist | 640 Seminole Rd, Norton Shores, MI 49441-4720 | 2017-02-16 |
| 1164965877 | Amy Breckon | Psychologist | 8201 Anglers Ln, Hudsonville, MI 49426-8641 | 2016-11-29 |
| 1356746879 | Abby Grant | Psychologist | 146 W 23rd St, Holland, MI 49423-4709 | 2014-10-27 |
| 1497179170 | Detroit Wayne Mental Health Authority | Psychologist | 707 W. Milwaukee, 3rd Floor Finance, Detroit, MI 48202-2599 | 2014-02-14 |
| 1053735498 | Amary Lehto | Psychologist | 649 E Boston Blvd, Detroit, MI 48202-1322 | 2014-02-05 |
| 1750713210 | Janet Irene Mcalpine | Psychologist | 21650 Behrendt Ave, Warren, MI 48091-2781 | 2013-08-06 |
| 1114365277 | Angela Nicole Oshkaloff | Psychologist | 6594 Perryville Rd, Holly, MI 48442-9499 | 2013-06-11 |
| 1750641452 | Spencer Manor Living Well | Psychologist | 2219 S Term St, Burton, MI 48519-1030 | 2012-05-29 |
| 1619204914 | Anitha Mummineni | Psychologist | 50889 Briar Ridge Lane, Northville, MI 48168-3215 | 2009-11-06 |
| Find all providers with the same taxonomy | ||||
| City | GRAND RAPIDS |
| Zip Code | 49508 |
Please comment or provide details below to improve the information on AMY SIKKENGA.
| 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.