MICHIGAN MEDICAL PATIENT CARE (NPI# 1336203280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336203280 |
| Entity Type | Organization |
| Organization Name | MICHIGAN MEDICAL PATIENT CARE |
| Practice Address |
3322 E Beltline Ct Ne Grand Rapids MI 49525-9480 |
| Mailing Address |
4085 Burton St Se Suite 200 Grand Rapids MI 49546-2444 |
| Practice Telephone | 6164569104 |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2010-03-02 |
| Authorized Official Name | SCOTT HARING (CFO) |
| Authorized Official Telephone | 6169744889 |
| Is Organization Subpart | Y |
| Parent Organization Name | MICHIGAN MEDICAL PATIENT CARE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447586540 | Michigan Medical Patient Care | Internal Medicine | 6117 Charlevoix Woods Ct Se, Grand Rapids, MI 49546-8505 | 2009-10-23 |
| 1588899595 | Michigan Medical Patient Care | Internal Medicine | 2902 Bradford Street Ne, Grand Rapids, MI 49525 | 2009-05-19 |
| 1598907693 | Michigan Medical Patient Care | Internal Medicine | 400 Parkside Dr, Rm 136, Zeeland, MI 49464-2087 | 2009-04-03 |
| 1467693838 | Michigan Medical Patient Care | Internal Medicine | 1049 East Paris Ave Se, Grand Rapids, MI 49546-8336 | 2009-03-16 |
| 1437390028 | Michigan Medical Patient Care | Internal Medicine | 65 Ida Red Ave, Sparta, MI 49345-1735 | 2009-03-12 |
| 1275774861 | Michigan Medical Patient Care | Internal Medicine | 5761 Jupiter Ave Ne, Belmont, MI 49306-8859 | 2009-03-12 |
| 1558528778 | Michigan Medical Patient Care | Pediatrics | 442 Century Ln, Holland, MI 49423-4294 | 2008-05-16 |
| 1508033283 | Michigan Medical Patient Care | Family Medicine | 302 S Beechtree St, Grand Haven, MI 49417-2004 | 2008-05-13 |
| 1043540818 | Michigan Medical Patient Care | Internal Medicine | 707 S Greenville West Dr, Greenville, MI 48838-3514 | 2009-12-30 |
| 1841527413 | Michigan Medical Patient Care | Durable Medical Equipment & Medical Supplies | 3152 Port Sheldon St, Hudsonville, MI 49426-9297 | 2009-11-03 |
| Street Address |
3322 E BELTLINE CT NE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49525-9480 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881641694 | Timothy Thoits | Psychiatry & Neurology | 3322 E Beltline Ct Ne, Grand Rapids, MI 49525-9480 | 2006-05-27 |
| 1700492683 | Carly Elizabeth Thompson | Nurse Practitioner | 3322 E Beltline Ct Ne, Grand Rapids, MI 49525-9480 | 2020-09-16 |
| 1326519950 | Melissa Marie Outman | Nurse Practitioner | 3322 E Beltline Ct Ne, Grand Rapids, MI 49525-9480 | 2018-12-07 |
| 1962941518 | Christian Healthcare Centers, Inc. | Pediatrics | 3322 E Beltline Ct Ne, Grand Rapids, MI 49525-9480 | 2017-02-15 |
| 1285044271 | Ashleigh Collar Michaud | Physician Assistant | 3322 E Beltline Ct Ne, Grand Rapids, MI 49525-9480 | 2014-04-30 |
| 1710264379 | Maegan Rae Hatfield-eldred | Clinical Neuropsychologist | 3322 E Beltline Ct Ne, Grand Rapids, MI 49525-9480 | 2011-11-10 |
| 1760764732 | Lacie L Fedewa | Nurse Practitioner | 3322 E Beltline Ct Ne, Grand Rapids, MI 49525-9480 | 2011-09-15 |
| 1356640494 | Spectrum Health Primary Care Partners | Social Worker | 3322 E Beltline Ct Ne, Grand Rapids, MI 49525-9480 | 2011-03-15 |
| 1508175779 | Spectrum Health Primary Care Partners | Psychiatry & Neurology | 3322 E Beltline Ct Ne, Grand Rapids, MI 49525-9480 | 2010-10-05 |
| 1720222748 | Martha R Thormeier | Social Worker | 3322 E Beltline Ct Ne, Grand Rapids, MI 49525-9480 | 2009-04-21 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 49525 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841609369 | Crystal Young | Clinical Neuropsychologist | 1550 E Beltline Ave Se, Suite 340, Grand Rapids, MI 49506-4301 | 2014-08-08 |
| 1861686784 | Lauren Elizabeth Spoon | Clinical Neuropsychologist | 3333 36th St Se, Grand Rapids, MI 49512-2809 | 2007-09-04 |
| 1538287495 | James Bernard De Boe | Clinical Neuropsychologist | 4131 Embassy Dr Se, Grand Rapids, MI 49546-2418 | 2007-03-27 |
| 1891867495 | Cherry Street Services, Inc. | Clinical Neuropsychologist | 669 Stocking Ave Nw, Grand Rapids, MI 49504-5176 | 2006-11-15 |
| 1477663599 | Don Allen Boyd | Clinical Neuropsychologist | 3300 Burton St Se Ste B, Grand Rapids, MI 49546-4398 | 2006-08-30 |
| 1598705675 | Thomas Charles Fuller | Clinical Neuropsychologist | 161 Ottawa Nw, Ste 300c, Grand Rapids, MI 49503-2707 | 2006-06-07 |
| 1447738877 | Draycen Decator | Clinical Neuropsychologist | 3292 N Evergreen Dr Ne, Grand Rapids, MI 49525-9746 | 2018-07-28 |
| 1144717604 | Jaclyn Reckow | Clinical Neuropsychologist | 245 Cherry St Se Ste 104, Grand Rapids, MI 49503-4607 | 2018-04-19 |
| 1184172496 | Jesse J Piehl | Clinical Neuropsychologist | 3292 Evergreen Dr Ne, Grand Rapids, MI 49525-9580 | 2016-09-15 |
| 1144678020 | Alicia Beth Vanden Bussche Jantz | Clinical Neuropsychologist | 2750 E Beltline Ave Ne Fl 3, Grand Rapids, MI 49525-8614 | 2016-06-01 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49525 |
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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.