DR. JENNIFER B. MAINKA, LLC (NPI# 1316342447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316342447 |
| Entity Type | Organization |
| Organization Name | DR. JENNIFER B. MAINKA, LLC |
| Other Organization Name | RENEWED RELATIONSHIPS COUNSELING AND PSYCHOLOGICAL SERVICES |
| Practice Address |
2300 Genoa Business Park Dr Suite 160 Brighton MI 48114-7367 |
| Practice Telephone | 8105220785 |
| Practice Fax Number | 8102295337 |
| Mailing Telephone | 8105220785 |
| Mailing Fax Number | 8102295337 |
| Enumeration Date | 2014-10-31 |
| Last Update Date | 2014-12-15 |
| Authorized Official Name | DR. JENNIFER BOSS MAINKA (PSYCHOLOGIST) |
| Authorized Official Telephone | 2484442418 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
6301014583 | MI | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Renewed Relationships Counseling and Psychological Services | Doing Business As Name - Organization |
| Street Address |
2300 GENOA BUSINESS PARK DR SUITE 160 |
| City | BRIGHTON |
| State | MI |
| Zip Code | 48114-7367 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013965813 | Brian E Nichols | Specialist/Technologist | 2300 Genoa Business Park Dr, Suite 120, Brighton, MI 48114-7367 | 2006-05-04 |
| 1710426663 | Aya Audiological Consultants, LLC | Audiologist | 2300 Genoa Business Park Dr, Suite 130, Brighton, MI 48114-7367 | 2017-02-13 |
| 1902263023 | Erin Oldford | Counselor | 2300 Genoa Business Park Dr, Brighton, MI 48114-7367 | 2016-01-20 |
| 1356716476 | Jennifer Gretzema | Counselor | 2300 Genoa Business Park Dr, Suite 160, Brighton, MI 48114-7367 | 2015-12-01 |
| 1215365762 | Neurology Associates Southeast, Pllc | Specialist | 2300 Genoa Business Park Dr, Suite 190, Brighton, MI 48114-7367 | 2013-10-19 |
| 1861791998 | Brighton Urgent Care PC | Clinic/Center | 2300 Genoa Business Park Dr, Suite 120, Brighton, MI 48114-7367 | 2011-03-15 |
| 1568760353 | Brighton Urgent Care PC | Obstetrics & Gynecology | 2300 Genoa Business Park Dr, Suite 120, Brighton, MI 48114-7367 | 2011-03-03 |
| 1043542905 | Livingston Ent | Specialist | 2300 Genoa Business Park Dr, Suite 130, Brighton, MI 48114-7367 | 2010-02-03 |
| 1205164712 | Ashthorn Holdings LLC | Home Health | 2300 Genoa Business Park Dr, Suite 160, Brighton, MI 48114-7367 | 2009-11-20 |
| 1568616662 | Mary Jane Madsen | Counselor | 2300 Genoa Business Park Dr, Suite 106, Brighton, MI 48114-7367 | 2008-11-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386114866 | Key Development Center, Inc. | Counselor | 2060 Grand River Annex Suite 600, Brighton, MI 48114 | 2018-11-28 |
| 1205326873 | Montana Neurology Pllc | Psychiatry & Neurology | 2040 Grand River Anx Ste 200, Brighton, MI 48114 | 2018-05-18 |
| 1205370855 | Samantha Hawley | Contractor | 73 Perch Street, Brighton, MI 48114 | 2016-12-15 |
| 1164883633 | Kathryn Degrande Lankton | Family Medicine | 7575 Grand River Ste 210, Brighton, MI 48114 | 2016-03-11 |
| 1992110241 | Bryant Castelein | Podiatrist | 7990 Grand River Rd Ste D, Brighton, MI 48114 | 2014-06-25 |
| 1033544945 | Maria Kottke | Nurse Practitioner | 3222 Eden Trl, Brighton, MI 48114 | 2013-09-10 |
| 1720380462 | Kami Erin Bartholomew | Physical Therapy Assistant | 744 Grand River, Brighton, MI 48114 | 2010-12-01 |
| 1467779223 | Amy Hund | Psychologist | 10031 Spencer Rd, Brighton, MI 48114 | 2010-05-03 |
| 1851529978 | Mark Brian Mcintee | Physician Assistant | 7575 W. Grand River, Brighton, MI 48114 | 2009-06-26 |
| 1982865432 | Disha Kinra | Dentist | 7743 Grand River Ave Ste 202, Great Expressions Dental Centers, Brighton, MI 48114 | 2008-06-18 |
| Find all providers in zip 48114 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154849339 | Neuropsychology Partners, LLC | Psychologist | 7305 Grand River Rd Ste 300, Brighton, MI 48114-7378 | 2017-09-07 |
| 1063860955 | Samantha Rae Breneman | Psychologist | 7600 Grand River Rd Ste 290, Brighton, MI 48114-7340 | 2016-06-01 |
| 1407214232 | Ellen I Koch | Psychologist | 2040 Grand River Anx Ste 300, Brighton, MI 48114-5313 | 2016-02-08 |
| 1619360047 | Reema S Beri | Psychologist | 10327 East Grand River Avenue, Suite 406, Brighton, MI 48116 | 2015-03-10 |
| 1033534235 | Frank Rubino | Psychologist | 6709 Kilberry Ct, Brighton, MI 48114-7423 | 2014-02-25 |
| 1548695604 | Brittney Briggs | Psychologist | 2200 Genoa Business Park Dr Ste 100, Brighton, MI 48114-5328 | 2013-09-09 |
| 1508209479 | Bryce Hella | Psychologist | 10524 Grand River Rd Ste 100, Brighton, MI 48116-9559 | 2013-04-10 |
| 1043547821 | Roberta Anne Hitt | Psychologist | 10524 Grand River Rd Ste 107b, Brighton, MI 48116-9559 | 2009-11-16 |
| 1871743385 | Melissa Bochicchio Meyer | Psychologist | 288 Summit Ave # 2, Brighton, MA 02135-7607 | 2008-09-22 |
| 1891972279 | Ruthann Davis | Psychologist | 2900 Dunsary Ln, Suite A, Brighton, MI 48114-9447 | 2008-01-28 |
| Find all providers in BRIGHTON | ||||
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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.