MR. JOSEPH EDWARD BUDNICK


Address: 1150 Brownwood Ave Nw, Grand Rapids, MI 49504-3653
Phone: 6164530367

MR. JOSEPH EDWARD BUDNICK (NPI# 1184996969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1184996969
Entity Type Individual
Full Name MR. JOSEPH EDWARD BUDNICK
Credential LLP
Practice Address 1150 Brownwood Ave Nw
Grand Rapids
MI 49504-3653
Practice Telephone 6164530367
Mailing Telephone 6164530367
Enumeration Date 2012-02-08
Last Update Date 2012-02-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC1900X Psychologist
Specialization: Counseling
6301011104 MI Behavioral Health & Social Service Providers

Office Location

Street Address 1150 BROWNWOOD AVE NW
City GRAND RAPIDS
State MI
Zip Code 49504-3653

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1972854339 Beth Ellen Gregory Registered Nurse 1956 Walker Avenue Northwest, Grand Rapids, MI 49504 2012-09-26
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Taxonomy Information

Taxonomy Code 103TC1900X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Counseling

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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1609347285 Luwillis Gibson Psychologist 1014 Dunham St Se, Grand Rapids, MI 49506-2659 2018-12-07
1598257966 Austin Knight Psychologist 1010 Watson St Sw, Grand Rapids, MI 49504-6148 2018-06-01
1609203694 Lynn Jackson Psychologist 456 Plymouth Ave Ne Ste B, Grand Rapids, MI 49505 2013-10-04
1265660963 Gary Michael Cole Psychologist 1115 Ball Ave Ne Bldg C, Grand Rapids, MI 49505-5904 2009-07-01
1073763710 Kylene Lynn Schipper Psychologist 3300 36th St, Grand Rapids, MI 49518-0007 2008-09-30
1295986933 Jeffrey Alan Bootzin Psychologist 330 Eastern Ave Se, Grand Rapids, MI 49503-4737 2008-09-30
1770730434 Kurt Thomas Ellis Psychologist 4920 Plainfield Ave Ne, Suite C, Grand Rapids, MI 49525-1010 2008-08-25
1437332871 Jeanette Mcdowell Forrest Psychologist 233 Fulton St E Ste 104, Grand Rapids, MI 49503-3261 2007-12-07
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Competitor

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City GRAND RAPIDS
Zip Code 49504

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Dataset Information

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.

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