GENESEE HEALTH SYSTEM (NPI# 1295070456) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1295070456 |
Entity Type | Organization |
Organization Name | GENESEE HEALTH SYSTEM |
Practice Address |
806 Tuuri Pl Flint MI 48503-2465 |
Mailing Address |
725 Mason St Flint MI 48503-2421 |
Practice Telephone | 8102573676 |
Mailing Telephone | 8102573736 |
Mailing Fax Number | 8102573785 |
Enumeration Date | 2012-11-29 |
Last Update Date | 2019-02-15 |
Authorized Official Name | MR. DANIS RUSSELL (CHIEF EXECUTIVE OFFICER) |
Authorized Official Telephone | 8102573736 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TM1800X |
Psychologist Specialization: Mental Retardation & Developmental Disabilities |
MI | Behavioral Health & Social Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
1102 Mackin Rd, Flint, MI 485031204 | 8102573736 | 8102573785 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689054322 | Genesee Health System | Clinic/Center | 914 Church St, Flint, MI 48502-1010 | 2015-06-08 |
1093124216 | Genesee Health System | Clinic/Center | 924 Cedar St, Flint, MI 48503-3620 | 2014-08-13 |
1982018610 | Genesee Health System | Social Worker | 3109 Kleinpell St, Flint, MI 48507 | 2014-06-20 |
1962968164 | Genesee Health System | Psychiatry & Neurology | 2700 Robert T Longway Blvd Ste G, Flint, MI 48503-2190 | 2019-02-13 |
1205346939 | Genesee Health System | Clinic/Center | 725 Mason St, Flint, MI 48503-2421 | 2017-10-09 |
1548617459 | Genesee Health System | Social Worker | 420 W 5th Ave, Flint, MI 48503-2445 | 2016-05-20 |
1134569874 | Genesee Health System | Point of Service | 420 W 5th Ave, Flint, MI 48503-2445 | 2013-06-26 |
1659710762 | Genesee Health System | Case Management | 420 W 5th Ave, Flint, MI 48503-2445 | 2013-06-21 |
1710326988 | Genesee Health System | Community/Behavioral Health | 420 W 5th Ave, Flint, MI 48503-2445 | 2013-06-20 |
1730528936 | Genesee Health System | Health Maintenance Organization | 420 W 5th Ave, Flint, MI 48503-2445 | 2013-06-20 |
Street Address |
806 TUURI PL |
City | FLINT |
State | MI |
Zip Code | 48503-2465 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598760795 | Mott Children's Health Center | Clinic/Center | 806 Tuuri Pl, Flint, MI 48503-2465 | 2005-06-15 |
1326648973 | Melanie Hunter | Nurse Practitioner | 806 Tuuri Pl, Flint, MI 48503-2465 | 2020-10-31 |
1932707122 | Marcus Batson | Social Worker | 806 Tuuri Pl, Flint, MI 48503-2465 | 2020-10-12 |
1184238099 | Jennifer O'brien | Social Worker | 806 Tuuri Pl, Flint, MI 48503-2465 | 2020-09-08 |
1952933681 | Marc David Rosin | Social Worker | 806 Tuuri Pl, Flint, MI 48503-2465 | 2020-02-11 |
1851937734 | Ean Williams | Peer Specialist | 806 Tuuri Pl, Flint, MI 48503-2465 | 2019-11-26 |
1922643436 | Parul Gupta | Psychologist | 806 Tuuri Pl, Flint, MI 48503-2465 | 2019-11-08 |
1568004554 | Shaquita Latice Harrison | Social Worker | 806 Tuuri Pl, Flint, MI 48503-2465 | 2019-10-11 |
1952954257 | Jordan Nicole Groover | Social Worker | 806 Tuuri Pl, Flint, MI 48503-2465 | 2019-07-17 |
1245797919 | Grace Campbell | Social Worker | 806 Tuuri Pl, Flint, MI 48503-2465 | 2019-02-28 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457971640 | Flint Odyssey House Inc. | Community/Behavioral Health | 1219 Martin Luther King Avenue, Flint, MI 48503 | 2020-04-17 |
1891265476 | Mary Margaret Woodruff | Health Educator | 411 E. Third St Suite 2, Flint, MI 48503 | 2018-11-27 |
1669942223 | Donna Jean Phelps | Behavior Technician | 2284 S Ballenger Highway, Flint, MI 48503 | 2018-11-27 |
1588150601 | Dayonna Scott | Social Worker | Hope Network, 2830 Corunna Rd, Flint, MI 48503 | 2018-07-02 |
1801388020 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2284 S Ballenger Hwy Ste F, Flint, MI 48503 | 2018-06-04 |
1134610504 | Swathi Gorle | Student in an Organized Health Care Education/Training Program | Hurley Medical Center, 1 Hurley Plaza, Flint, MI 48503 | 2018-05-22 |
1881128049 | Kara Garr | Registered Nurse | 805 Tuuri Pl, Flint, MI 48503 | 2017-04-14 |
1518405638 | Thomasinia Terrell | Peer Specialist | 422 W Fourth Ave, Flint, MI 48503 | 2017-02-09 |
1790231041 | Roslyn Boyce | Technician, Other | 2213 E. Court Street, Flint, MI 48503 | 2016-08-28 |
1689120818 | Yasmine Elhefnawy | Student in an Organized Health Care Education/Training Program | One Hurley Plaza 3d West, Flint, MI 48503 | 2016-08-28 |
Find all providers in zip 48503 |
Taxonomy Code | 103TM1800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Mental Retardation & Developmental Disabilities |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053864942 | Ty'teana Thomas | Psychologist | 1110 Eldon Baker Dr, Flint, MI 48507-1923 | 2016-07-27 |
1841640869 | Tara Lashunda Maynie | Psychologist | 1110 Eldon Baker Dr, Newhope, Flint, MI 48507 | 2016-06-21 |
1821316027 | Genesee County Community Mental Health | Psychologist | 420 W 5th Ave, Flint, MI 48503-2445 | 2010-05-12 |
NPI | Name | Taxonomy | Address | Enumeration |
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1396363933 | Parents Zone, LLC | Psychologist | 23481 Seneca Street, Oak Park, MI 48237-2245 | 2020-07-09 |
1447802111 | Natalia Viera-vanarkel | Psychologist | 3017 Plainfield Ave Ne, Grand Rapids, MI 49505-3258 | 2019-07-12 |
1477092054 | Jeremy Ladronka | Psychologist | 640 Seminole Rd, Norton Shores, MI 49441-4720 | 2017-02-16 |
1164965877 | Amy Breckon | Psychologist | 8201 Anglers Ln, Hudsonville, MI 49426-8641 | 2016-11-29 |
1356746879 | Abby Grant | Psychologist | 146 W 23rd St, Holland, MI 49423-4709 | 2014-10-27 |
1497179170 | Detroit Wayne Mental Health Authority | Psychologist | 707 W. Milwaukee, 3rd Floor Finance, Detroit, MI 48202-2599 | 2014-02-14 |
1053735498 | Amary Lehto | Psychologist | 649 E Boston Blvd, Detroit, MI 48202-1322 | 2014-02-05 |
1750713210 | Janet Irene Mcalpine | Psychologist | 21650 Behrendt Ave, Warren, MI 48091-2781 | 2013-08-06 |
1114365277 | Angela Nicole Oshkaloff | Psychologist | 6594 Perryville Rd, Holly, MI 48442-9499 | 2013-06-11 |
1750641452 | Spencer Manor Living Well | Psychologist | 2219 S Term St, Burton, MI 48519-1030 | 2012-05-29 |
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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.