DOUGLAS W BENTLEY (NPI# 1306819057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306819057 |
| Entity Type | Individual |
| Full Name | DOUGLAS W BENTLEY |
| Practice Address |
453 Dildine Rd Ionia MI 48846-9564 |
| Mailing Address |
Po Box 1767 Grand Rapids MI 49501-1767 |
| Practice Telephone | 6165272619 |
| Practice Fax Number | 6165277717 |
| Mailing Telephone | 6165272619 |
| Mailing Fax Number | 6165277717 |
| Enumeration Date | 2006-02-10 |
| Last Update Date | 2019-04-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
6301007196 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447243563 | Douglas Gary Bentley | Orthopaedic Surgery | 24 Guild St, Norwood, MA 02062-3425 | 2005-08-24 |
| 1528321841 | Douglas Bentley | Anesthesiology | 3471 5th Ave, Pittsburgh, PA 15213-3215 | 2012-06-21 |
| Street Address |
453 DILDINE RD |
| City | IONIA |
| State | MI |
| Zip Code | 48846-9564 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346213527 | Renee A W Bentley | Social Worker | 453 Dildine Rd, Ionia, MI 48846-9564 | 2006-02-09 |
| 1326530056 | Vanessa Lake | Social Worker | 453 Dildine Rd, Ionia, MI 48846-9564 | 2018-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346728003 | William Thomas Franklin-cromwell | Social Worker | 4832 E Bluewater Hwy, Ionia, MI 48846 | 2018-08-03 |
| 1992244974 | Jane Sielski | Nurse Practitioner | 2776 S State Rd # M66, Ionia, MI 48846 | 2017-02-23 |
| 1184074676 | Rachael Greenman | Technician, Other | 321 Colby St, Ionia, MI 48846 | 2016-06-15 |
| 1093059388 | Alicia Lynn Ballard | Orthopaedic Surgery | 537 W. Main St Suite 102, Ionia, MI 48846 | 2012-11-27 |
| 1538301643 | Places LLC | Registered Nurse | 910 E Lincoln, Ionia, MI 48846 | 2009-04-03 |
| 1285856419 | Goodwill Optical Inc | Optometrist | 153 W Sprague Rd, Ionia, MI 48846 | 2007-05-03 |
| 1033271143 | Sparrow Ionia Hospital | Family Medicine | 550 East Washington Street, Ionia, MI 48846 | 2006-12-14 |
| 1841364833 | Sandra Irene Herron | Physical Therapist | 3751 S State Rd, Ionia, MI 48846 | 2006-11-20 |
| 1407920531 | Brooke Lynne Cheney | Physical Therapist | 3751 S State Road, Ionia, MI 48846 | 2006-11-20 |
| 1356415483 | Grand River Physical Therapy Specialists PC | Physical Therapist | 3751 South State Rd, Ionia, MI 48846 | 2006-11-20 |
| Find all providers in zip 48846 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780633149 | Inner Access Therapy Center LLC | Psychologist | 112 S Depot St, Ionia, MI 48846-1636 | 2006-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245831296 | Reema S. Beri, Phd, LLC | Psychologist | 49410 Waterstone Estates Cir, Northville, MI 48168-4900 | 2020-11-05 |
| 1952901225 | Northerner Psychological Services, Pllc | Psychologist | 1869 Melbourne St, Birmingham, MI 48009-1160 | 2020-10-27 |
| 1083213631 | Robert J. Sheppard Phd Pllc | Psychologist | 8339 Brookwood Dr, Portage, MI 49024-5207 | 2020-10-23 |
| 1952900037 | Jamila Simone Steward | Psychologist | 31275 Northwestern Hwy Ste 216, Farmington Hills, MI 48334-2570 | 2020-10-20 |
| 1992303465 | Madison Bryant | Psychologist | 1231 S Cass Lake Rd, Waterford, MI 48328-4739 | 2020-10-15 |
| 1730787664 | Athal Yako | Psychologist | 18230 Teresa Dr, Macomb, MI 48044-1681 | 2020-10-13 |
| 1538767678 | Up Telehealth, LLC | Psychologist | 228 W Washington St Ste 7, Marquette, MI 49855-4330 | 2020-10-12 |
| 1881292076 | Meaningful Change: Clinical & Consultation Psychology, Pllc | Psychologist | 1861 Woodland Dr, Mount Pleasant, MI 48858-1298 | 2020-10-11 |
| 1902404122 | Dorrean Riley | Psychologist | 19189 Lexington, Redford, MI 48240-2618 | 2020-10-09 |
| 1174130850 | Timber Creek Counseling West LLC | Psychologist | 2976 Ivanrest Ave Sw Ste 215, Grandville, MI 49418-1440 | 2020-09-28 |
| Find all providers with the same taxonomy | ||||
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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.