MRS. JENNIFER ANN WISNIEWSKI


Address: 2090 Celebration Dr Ne Ste 212, Grand Rapids, MI 49525-9200
Phone: 6163078385

MRS. JENNIFER ANN WISNIEWSKI (NPI# 1235380528) 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) 1235380528
Entity Type Individual
Full Name MRS. JENNIFER ANN WISNIEWSKI
Credential M.A., L.L.P.
Practice Address 2090 Celebration Dr Ne Ste 212
Grand Rapids
MI 49525-9200
Mailing Address 3333 Rypens Dr Nw
Walker
MI 49534-2463
Practice Telephone 6163078385
Mailing Telephone 6163078385
Enumeration Date 2008-10-05
Last Update Date 2008-10-05
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist 6301013497 MI Behavioral Health & Social Service Providers

Other Providers JENNIFER WISNIEWSKI

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1447616743 Jennifer Wisniewski Registered Nurse 105 Hall St, Traverse City, MI 49684-2288 2016-01-04
1033555669 Jennifer N Wisniewski Pharmacist 109 Bee St, Charleston, SC 29401-5703 2013-05-22

Office Location

Street Address 2090 CELEBRATION DR NE STE 212
City GRAND RAPIDS
State MI
Zip Code 49525-9200

Providers in the same location

NPI Name Taxonomy Address Enumeration
1174786735 Kelly A Griffin Psychologist 2090 Celebration Dr Ne Ste 212, Grand Rapids, MI 49525-9200 2008-07-03
1841825809 Safecare Counseling Services LLC Social Worker 2090 Celebration Dr Ne Ste 212, Grand Rapids, MI 49525-9200 2020-03-10
1497388540 Michelle Lynn Hughes Social Worker 2090 Celebration Dr Ne Ste 212, Grand Rapids, MI 49525-9200 2020-02-18
1659535540 Pediatric Psychologists of West Michigan, Plc Psychologist 2090 Celebration Dr Ne Ste 212, Grand Rapids, MI 49525-9200 2008-07-10
1689837965 Gabriel M Griffin Psychologist 2090 Celebration Dr Ne Ste 212, Grand Rapids, MI 49525-9200 2008-07-07

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1053928507 Therapy With Nicole Pllc Community/Behavioral Health 4867 E. Beltline Ave. Ne, Building #1 Lower Level, Grand Rapids, MI 49525 2020-09-29
1184242760 Christian Healthcare Specialists, Inc. Obstetrics & Gynecology 3322 Beltline Court Ne, Suite 1, Grand Rapids, MI 49525 2020-07-09
1174154645 Amy Vanderslik Case Manager/Care Coordinator 3310 Eaglecrest Park Dr. Ne, Suite 100, Grand Rapids, MI 49525 2020-02-03
1477195246 Epic Discoveries LLC Counselor 4867 E. Beltline Ave Ne, Grand Rapids, MI 49525 2019-10-14
1598228959 Kim Scherencel Lmsw Counseling Social Worker 3280 Beltline Ne, Grand Rapids, MI 49525 2019-04-11
1821558958 Mindful Trajectories Social Worker 3280 Beltlne Ct Ne, Grand Rapids, MI 49525 2019-03-24
1104380518 Julianne Lettinga, Ma Lpc Counseling Counselor 3280 East Beltline Ct Ne, Grand Rapids, MI 49525 2019-01-30
1396227229 Christopher Scot Doucette Social Worker 2064 Airway St Ne, Grand Rapids, MI 49525 2018-09-06
1568976017 Amy K. Deyoung, Dds, Ms, PC Pediatric Dentistry Dentist 3297 Eagle Run Dr. Ne, Grand Rapids, MI 49525 2017-11-20
1407389604 Kelly Jo Crabb Social Worker 4829 E Beltline Ave Ne Ste 100, Grand Rapids, MI 49525 2017-04-05
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1205490240 Maxwell Taylor Psychologist 401 Hall St Sw Ste 112b, Grand Rapids, MI 49503-4988 2019-04-25
1760995146 Stephanie Elizabeth Karek Psychologist 4467 Cascade Rd Se Ste A4469, Grand Rapids, MI 49546-3791 2017-11-08
1114447745 Andrea Gumbko Psychologist 3403 Michigan St Ne, Grand Rapids, MI 49525-3408 2017-06-24
1720529332 Clearwater Counseling & Wellness LLC Psychologist 1525 E Beltline Se, Grand Rapids, MI 49525-4598 2017-03-15
1851748768 Heather Dermyer, LLC Psychologist 3330 Centennial Rdg, #205, Grand Rapids, MI 49546-7098 2016-05-20
1902265234 Lauren Conkright Psychologist 1009 44th St Se, Suite 103, Grand Rapids, MI 49508 2016-02-15
1225409220 Christian Robert Komor Psychologist 235 Louis St Nw, Grand Rapids, MI 49503-2600 2015-10-15
1780022194 Gregory V Mallis Psychologist 1870 Leonard St Se, Grand Rapids, MI 49505-5650 2013-06-07
1821344136 Laura Ann Doughty Psychologist 800 Monroe Ave Nw Ste 206, Grand Rapids, MI 49503-1448 2012-07-24
1528321296 Mikhila N Wildey Psychologist 300 58th St Se, Grand Rapids, MI 49548-5984 2012-06-19
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Competitor

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City GRAND RAPIDS
Zip Code 49525

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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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