DR. MICHAEL JAMES JENUWINE (NPI# 1336345008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336345008 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL JAMES JENUWINE |
| Credential | PH.D. |
| Practice Address |
725 Howard St South Bend IN 46617-1529 |
| Practice Telephone | 5746317795 |
| Practice Fax Number | 5746316725 |
| Mailing Telephone | 5746317795 |
| Mailing Fax Number | 5746316725 |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TF0200X |
Psychologist Specialization: Forensic |
20041826A | IN | Behavioral Health & Social Service Providers |
| N | 103TF0200X |
Psychologist Specialization: Forensic |
IL | Behavioral Health & Social Service Providers |
| Street Address |
725 HOWARD ST |
| City | SOUTH BEND |
| State | IN |
| Zip Code | 46617-1529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740731116 | Jack Mcintyre Kimmell | Specialist/Technologist | 1526 East Lasalle, South Bend, IN 46617 | 2016-10-20 |
| 1023429115 | Morning View Assisted Living LLC | Assisted Living Facility | 475 N. Niles Avenue, South Bend, IN 46617 | 2014-05-12 |
| 1265861231 | Rebecca Busenbark | Physical Therapist | 401 E Colfax Ave Ste 102, South Bend, IN 46617 | 2013-11-11 |
| 1962709071 | Doreen Danice Huddleston | Social Worker | 928 East Wayne St, Suit C, South Bend, IN 46617 | 2011-02-25 |
| 1487981734 | Mary Cecilia Roemer | Marriage & Family Therapist | 616 E. Colfax Ave, South Bend, IN 46617 | 2009-11-06 |
| 1225264054 | Sridhar Meda | Dentist | 1005 East Lasalle Ave, South Bend, IN 46617 | 2009-06-08 |
| 1063673531 | Madeline Christina Watkins | Counselor | 616 E Colfax, South Bend, IN 46617 | 2008-06-18 |
| 1437366481 | Michael Reed Johns | Dentist | 103 South Eddy Street, South Bend, IN 46617 | 2007-05-17 |
| 1194937680 | Sarah Elizabeth Redman | Specialist/Technologist | 53880 Carmichael Dr., South Bend, IN 46617 | 2007-05-04 |
| 1124241211 | Trixy Franke | Family Medicine | 837 E. Cedar St., Ste 100, South Bend, IN 46617 | 2007-04-10 |
| Find all providers in zip 46617 | ||||
| Taxonomy Code | 103TF0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Forensic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801014485 | Timothy Alan Stultz | Psychologist | 6573 Crossbridge Dr, Noblesville, IN 46062-7370 | 2007-04-21 |
| 1891836417 | David Neubauer Lombard | Psychologist | 3242 Mallard Cove Ln, Fort Wayne, IN 46804-2883 | 2007-02-08 |
| 1972642767 | Howard Wooden | Psychologist | 400 Wabash Ave Ste 212, Terre Haute, IN 47807-3276 | 2007-02-06 |
| 1235481532 | Pilipis Behavioral Group, LLC | Psychologist | 152 S 9th St, Noblesville, IN 46060-2619 | 2012-10-10 |
| City | SOUTH BEND |
| Zip Code | 46617 |
Please comment or provide details below to improve the information on DR. MICHAEL JAMES JENUWINE.
| 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.