DR. KIRK L BRINK (NPI# 1285884080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285884080 |
| Entity Type | Individual |
| Full Name | DR. KIRK L BRINK |
| Credential | PH.D. |
| Practice Address |
983 Spaulding Ave Se Ada MI 49301-3701 |
| Practice Telephone | 6169429000 |
| Practice Fax Number | 6169420008 |
| Mailing Telephone | 6169429000 |
| Mailing Fax Number | 6169420008 |
| Enumeration Date | 2008-09-29 |
| Last Update Date | 2008-09-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 6301001773 | MI | Behavioral Health & Social Service Providers |
| Street Address |
983 SPAULDING AVE SE |
| City | ADA |
| State | MI |
| Zip Code | 49301-3701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083719090 | Daniel Rosen | Clinical Neuropsychologist | 983 Spaulding Ave Se, Ada, MI 49301-3701 | 2006-09-14 |
| 1457967598 | Kelly Powers Gutierrez | Social Worker | 983 Spaulding Ave Se, Ada, MI 49301-3701 | 2020-09-22 |
| 1588202113 | Cheryl Lynn Cooper | Marriage & Family Therapist | 983 Spaulding Ave Se, Ada, MI 49301-3701 | 2019-12-13 |
| 1376103036 | Coville Counseling and Assessment | Psychologist | 983 Spaulding Ave Se, Ada, MI 49301-3701 | 2019-06-15 |
| 1659891125 | Amanda I Worst | Social Worker | 983 Spaulding Ave Se, Ada, MI 49301-3701 | 2017-06-26 |
| 1003344128 | Selah Counseling LLC | Social Worker | 983 Spaulding Ave Se, Ada, MI 49301-3701 | 2017-06-02 |
| 1407392129 | Cynthia Joyce Kok | Psychologist | 983 Spaulding Ave Se, Ada, MI 49301-3701 | 2017-01-19 |
| 1720385099 | Sandra Kay Oosse | Social Worker | 983 Spaulding Ave Se, Ada, MI 49301-3701 | 2011-02-22 |
| 1275703316 | Sally Ryan | Counselor | 983 Spaulding Ave Se, Ada, MI 49301-3701 | 2008-03-05 |
| 1215058953 | Michael Cole Ryan | Clinical Neuropsychologist | 983 Spaulding Ave Se, Ada, MI 49301-3701 | 2007-04-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326608720 | Mary Zuidema Lmsw LLC | Social Worker | 938 Spaulding Ave Se, Ada, MI 49301 | 2019-06-18 |
| 1689115040 | Bright Life Therapies LLC | Physical Therapist | 7690 Candlewood Dr, Ada, MI 49301 | 2017-03-17 |
| 1639425747 | Gary W Watson | Social Worker | 975 Spaulding Ave Ste D., Ada, MI 49301 | 2012-07-25 |
| 1821361353 | Paul George Theodore | Obstetrics & Gynecology | 660 South Whitman Ct. Se (retired), Ada, MI 49301 | 2012-02-14 |
| 1265768097 | Mary Kathryn Bennett | Social Worker | 983 Spaulding Ave. S.e., Ada, MI 49301 | 2009-10-29 |
| 1770739997 | Sheila R. Mccormack | Psychologist | 983 Spaulding St., Se, Ada, MI 49301 | 2008-08-08 |
| 1932321593 | Allison Leigh Stevens | Psychologist | 4670 E Fulton Ave Se, Suite 101, Ada, MI 49301 | 2007-05-03 |
| 1750434239 | Sarah J Ash | Registered Nurse | 983 Spaulding Office Annex, Ada, MI 49301 | 2007-01-19 |
| 1396756326 | Christine Marie Olree | Clinical Nurse Specialist | 200 Jefferson, Saint Marys Healthcare, Grand Rapids, MI 49301 | 2006-08-11 |
| 1174548606 | Kurt E Schabes | Dentist | 7210 Headley Se, Ada, MI 49301 | 2006-07-13 |
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| 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 |
|---|---|---|---|---|
| 1508200494 | Michelle Lynn Stinnett | Psychologist | 2520 Arlington Blvd, Ada, OK 74820-4622 | 2013-04-22 |
| 1770739997 | Sheila R. Mccormack | Psychologist | 983 Spaulding St., Se, Ada, MI 49301 | 2008-08-08 |
| 1568585255 | Thomas E. Laberteaux | Psychologist | 4670 Fulton St E Ste 101, Ada, MI 49301-8409 | 2007-04-09 |
| 1639235989 | Dane Vermerris | Psychologist | 4670 Fulton St E, Ste D, Ada, MI 49301-8455 | 2006-12-29 |
| 1639268998 | Collins Consulting Services, Inc. | Psychologist | 305 S Townsend St, Ada, OK 74820-6429 | 2006-10-12 |
| 1376103036 | Coville Counseling and Assessment | Psychologist | 983 Spaulding Ave Se, Ada, MI 49301-3701 | 2019-06-15 |
| 1699904193 | Frank Stanley Renberg | Psychologist | 967 Spaulding Ave Se, Suite D, Ada, MI 49301-3700 | 2009-07-07 |
| 1568608230 | Richard Raleigh Raubolt | Psychologist | 967 Spaulding Ave Se, Suite D, Ada, MI 49301-3700 | 2008-12-30 |
| 1508999277 | Dr. Julia A. Mohr, Plc | Psychologist | 967 Spaulding Ave Se, Suite E, Ada, MI 49301-3700 | 2007-03-13 |
| 1548393283 | Julia A Mohr | Psychologist | 967 Spaulding Ave Se, Suite E, Ada, MI 49301-3700 | 2007-03-13 |
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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.