MR. MICHAEL ALAN JANSEN (NPI# 1154501062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154501062 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL ALAN JANSEN |
| Credential | PHD, LP |
| Practice Address |
854 Washington Ave Ste 330 Holland MI 49423-7141 |
| Practice Telephone | 6163553926 |
| Practice Fax Number | 6163936651 |
| Mailing Telephone | 6163553926 |
| Mailing Fax Number | 6163936651 |
| Enumeration Date | 2007-11-08 |
| Last Update Date | 2014-03-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | 6301013771 | MI | Behavioral Health & Social Service Providers |
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
6301013771 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326250895 | Michael Robert Jansen | Physical Therapist | 1001 Mt. Hermon Road, Salisbury, MD 21804 | 2007-05-04 |
| 1265878466 | Michael Jansen | Ophthalmology | 100 Woods Rd, Valhalla, NY 10595 | 2013-05-14 |
| 1740302587 | Michael Joseph Jansen | Internal Medicine | 4645 Nw 8th Ave, Gainesville, FL 32605-4524 | 2007-04-04 |
| Street Address |
854 WASHINGTON AVE STE 330 |
| City | HOLLAND |
| State | MI |
| Zip Code | 49423-7141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578682399 | Alicia Katherine Mannes | Counselor | 854 Washington Ave Ste 330, Holland, MI 49423 | 2007-03-29 |
| 1952936494 | Taylor Noelle Lavender | Nurse Practitioner | 854 Washington Ave Ste 330, Holland, MI 49423-7141 | 2020-03-05 |
| 1487165288 | Brenna Rene Vernocke | Social Worker | 854 Washington Ave Ste 330, Holland, MI 49423-7141 | 2017-10-19 |
| 1881022515 | Erin Heavilin | Registered Nurse | 854 Washington Ave Ste 330, Holland, MI 49423 | 2013-10-15 |
| 1447517214 | Kylene Krause | Psychologist | 854 Washington Ave Ste 330, Holland, MI 49423-7141 | 2012-04-18 |
| 1255625273 | Emily Todd | Psychiatry & Neurology | 854 Washington Ave Ste 330, Holland, MI 49423-7141 | 2011-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356996714 | Ella Rose Marx | Social Worker | 412 Century Lane, Holland, MI 49423 | 2019-08-02 |
| 1245720424 | Amanda Ann Allen | Behavior Technician | 165 Sorrento Drive, Holland, MI 49423 | 2018-05-14 |
| 1588194237 | Emily Amila Geurink | Physical Therapy Assistant | 4037 43rd St, Holland, MI 49423 | 2017-06-15 |
| 1285081737 | Kara Draayer | Nurse Anesthetist, Certified Registered | 25 W 8th St Ste 200, Holland, MI 49423 | 2016-05-14 |
| 1851776413 | Sara Ty | Occupational Therapist | 789 South Meadow Court, Holland, MI 49423 | 2015-07-24 |
| 1508243056 | Andrew Peasley | Chiropractor | 436 Century Ln., Holland, MI 49423 | 2015-05-05 |
| 1437536497 | Deborah Donnelly | Physical Therapy Assistant | 1221 16th Street, Holland, MI 49423 | 2015-04-29 |
| 1366846024 | John Nguyen | Pharmacist | 747 E 16th St, Holland, MI 49423 | 2014-10-09 |
| 1003257817 | Courtney Young | Social Worker | 96 W 15 Street Midtown Center- Arbor Circle, Holland, MI 49423 | 2013-07-09 |
| 1689014391 | Jason Pettet | Acupuncturist | 500 West 17th St., Holland, MI 49423 | 2013-06-26 |
| Find all providers in zip 49423 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487881173 | Jennifer Lou Laux-ludwig | Psychologist | 854 Washington Ave, Suite #330, Holland, MI 49423-7144 | 2009-06-19 |
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|---|---|---|---|---|
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| 1487298204 | Oakland Integrated Healthcare Network | Psychologist | 881 Pinecrest Dr Fl 1, Ferndale, MI 48220-2310 | 2019-11-05 |
| 1952945107 | Oakland Integrated Healthcare Network | Psychologist | 2800 Waukegan St Rm 3, Auburn Hills, MI 48326-3261 | 2019-10-31 |
| 1730723982 | Oakland Integrated Healthcare Network | Psychologist | 32000 Shiawassee Rd Rm B, Farmington Hills, MI 48336-3251 | 2019-10-31 |
| 1558913160 | Anna Snyder | Psychologist | 9223 Sandhill Ct, Saline, MI 48176-9440 | 2019-07-13 |
| 1467965418 | Jeffrey William Thompson | Psychologist | 167 Leota Blvd, Waterford, MI 48327-3631 | 2017-11-13 |
| 1578074621 | Joshua Dale Brewer | Psychologist | 206 W Michigan Ave, Oscoda, MI 48750-1413 | 2017-10-17 |
| 1235655614 | Ramzi Hasson | Psychologist | 21600 Novi Rd # 800, Novi, MI 48375-5605 | 2017-08-17 |
| 1588184832 | Allison Vercellone Hayhoe | Psychologist | 31700 W 12 Mile Rd Ste 100&250, Farmington Hills, MI 48334-4424 | 2017-06-27 |
| 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.