KRISTINE A KOETJE (NPI# 1164595526) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164595526 |
| Entity Type | Individual |
| Full Name | KRISTINE A KOETJE |
| Other Name | KRISTINE A WILDER |
| Credential | MA LLP |
| Practice Address |
5353 Grand Haven Rd Suite B Muskegon MI 49441-5985 |
| Practice Telephone | 2317998182 |
| Practice Fax Number | 2317998183 |
| Mailing Telephone | 2317998182 |
| Mailing Fax Number | 2317998183 |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 6301008186 | MI | Behavioral Health & Social Service Providers |
| Street Address |
5353 GRAND HAVEN RD SUITE B |
| City | MUSKEGON |
| State | MI |
| Zip Code | 49441-5985 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053642660 | Timothy L. Mills | Psychologist | 5353 Grand Haven Rd, Suite B, Muskegon, MI 49441-5985 | 2010-01-21 |
| 1285863555 | Michelle Joy Beals | Social Worker | 5353 Grand Haven Rd, Suite B, Muskegon, MI 49441-5985 | 2009-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720692494 | Memphis Chardell Sandoval | Nurse Practitioner | 131 S. Seaway Dr., Muskegon, MI 49441 | 2020-09-01 |
| 1598222952 | Kimberlee K Erickson-worpel Ma,llp | Psychologist | 3611 Henry Street, Norton Shores, MI 49441 | 2019-02-21 |
| 1164921011 | Brittany Ann Bayne | Behavior Technician | 640 Seminole, Muskegon, MI 49441 | 2018-02-06 |
| 1497273403 | Rx Optical Laboratories, Inc. | Optometrist | 3445 Henry St, Norton Shores, MI 49441 | 2017-08-30 |
| 1801320072 | Gentle Souls Home Care, LLC | In Home Supportive Care | 2743 Henry Street Pmb #117, Muskegon, MI 49441 | 2017-04-14 |
| 1467814889 | Lyle Karp | Hearing Instrument Specialist | 3145 Henry St., Muskegon, MI 49441 | 2016-03-24 |
| 1649653817 | Jessica Marie Lambert | Dentist | 5978 Harvey St., Muskegon, MI 49441 | 2015-07-06 |
| 1114320595 | Mark Reider | Counselor | 3944 Grand Haven Rd Apt 204c, Norton Shores, MI 49441 | 2014-09-30 |
| 1679826002 | Kathleen M Dole | Social Worker | 800 E Ellis Rd Ste 222, Norton Shores, MI 49441 | 2012-10-23 |
| 1144523119 | Terri Lee Garza | Social Worker | 1095 Third St, Muskegon, MI 49441 | 2010-12-14 |
| Find all providers in zip 49441 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285774422 | Robin Renae Barris | Psychologist | 3370 Glade Street, Muskegon, MI 49444-2278 | 2007-02-07 |
| 1801983234 | Susan D Pavlik | Psychologist | 1528 Sixth St, Muskegon, MI 45441 | 2006-10-06 |
| 1154852192 | Brianna J'annette Bailey | Psychologist | 376 E Apple Ave, Muskegon, MI 49442-3466 | 2017-03-22 |
| 1316312325 | Stephanie Moreno | Psychologist | 376 E Apple Ave, Muskegon, MI 49442-3466 | 2015-12-02 |
| 1891929345 | Allison A Bush | Psychologist | 2700 Baker St Fl 3, Muskegon, MI 49444-2157 | 2009-05-13 |
| 1982876538 | Debra Lyn Tufts | Psychologist | 1148 4th St, Muskegon, MI 49441-1921 | 2008-03-24 |
| 1376726604 | Margaret Alice Lowe | Psychologist | 1148 4th St, Muskegon, MI 49441-1921 | 2007-12-10 |
| 1346447422 | Joe Scott Estes | Psychologist | 427 Seminole Rd, Suite 101, Muskegon, MI 49444-3747 | 2007-07-02 |
| 1487714036 | Missi Nadeau | Psychologist | 1735 Peck St, Muskegon, MI 49441-2507 | 2006-12-12 |
| 1407914120 | Stella E Dial | Psychologist | 1148 4th St, Muskegon, MI 49441 | 2006-12-05 |
| Find all providers in MUSKEGON | ||||
Please comment or provide details below to improve the information on KRISTINE A KOETJE.
| 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.