GILBERT PSYCHOLOGICAL SERVICES, LLC (NPI# 1336678671) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336678671 |
| Entity Type | Organization |
| Organization Name | GILBERT PSYCHOLOGICAL SERVICES, LLC |
| Practice Address |
5060 Cascade Rd Se Ste D Grand Rapids MI 49546-3808 |
| Practice Telephone | (616) 454-2911 |
| Practice Fax Number | 6164541126 |
| Mailing Telephone | 6164542911 |
| Mailing Fax Number | 6164541126 |
| Enumeration Date | 2017-06-09 |
| Last Update Date | 2017-07-13 |
| Authorized Official Name | MARY GILBERT (OWNER) |
| Authorized Official Telephone | 6164542911 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | STATE LICENSE | 6301010053 | 01 |
| Street Address |
5060 CASCADE RD SE STE D |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49546-3808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760426779 | Mary S Gilbert | Psychologist | 5060 Cascade Rd Se Ste D, Grand Rapids, MI 49546 | 2006-06-16 |
| 1487660452 | Melissa Rae Tower | Psychologist | 5060 Cascade Rd Se Ste D, Grand Rapids, MI 49546-3808 | 2006-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437762986 | Amanda Mae Ostrom | Speech-Language Pathologist | 710 Kenmore Ave Se, #110, Grand Rapids, MI 49546 | 2020-08-25 |
| 1063075562 | Kelly Lynn Ibarra | Counselor | 4467 Cascade Road Se, Suite #4479, Grand Rapids, MI 49546 | 2019-04-19 |
| 1891257036 | Jessica Matthews LLC | Counselor | 4127 Embassy Drive Se, Grand Rapids, MI 49546 | 2019-04-05 |
| 1326518531 | Neah Morgan | Technician | 4220 Burton St Se, Grand Rapids, MI 49546 | 2018-11-29 |
| 1316430267 | Michael John Benskey | Case Manager/Care Coordinator | 4065 Saladin St Se, Grand Rapids, MI 49546 | 2018-06-14 |
| 1679062772 | Smile Cascade, P.C. | Clinic/Center | 4505 Cascade Rd Se # A, Grand Rapids, MI 49546 | 2018-05-03 |
| 1720583289 | Jeromy Krogman | Counselor | 826 Parchment Drive Se, Grand Rapids, MI 49546 | 2018-03-27 |
| 1841792660 | Affordable Hearing Clinic | Hearing Instrument Specialist | 833 Kenmoor Ave Se Ste G, Grand Rapids, MI 49546 | 2018-03-07 |
| 1689176133 | Kelly Pines | Physical Therapist | 625 Kenmoor Ave Suite 306, Grand Rapids, MI 49546 | 2018-03-01 |
| 1467971440 | Deanna Elizabeth Saenz | Social Worker | 2100 Raybrook St Se Ste 300, Grand Rapids, MI 49546 | 2017-09-12 |
| Find all providers in zip 49546 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982219556 | Best Life Counseling Services, LLC | Clinic/Center | O-745 Lake Michigan Dr Nw, Grand Rapids, MI 49534-6795 | 2020-09-10 |
| 1992362347 | Kelly Ahti, Lmsw Pllc | Clinic/Center | 4519 Cascade Rd Se Ste 2, Grand Rapids, MI 49546-8319 | 2019-05-21 |
| 1902366974 | Caring Well Counseling | Clinic/Center | 2040 Raybrook St Se Ste 103, Grand Rapids, MI 49546-7718 | 2019-03-25 |
| 1881154953 | Speak Easy LLC | Clinic/Center | 10 Nw 5th St Ste 203, Grand Rapids, MN 55744-2660 | 2019-03-23 |
| 1912471863 | Catherine A Vandewege LLC | Clinic/Center | 800 Monroe Ave Nw Ste 201, Grand Rapids, MI 49503-1448 | 2019-01-14 |
| 1477026847 | Vetgr | Clinic/Center | 77 Monroe Center St Nw Ste 504, Grand Rapids, MI 49503-2903 | 2019-01-08 |
| 1508379397 | Jolie J. Brown, Lmsw LLC | Clinic/Center | 4519 Cascade Rd Se Ste 4, Grand Rapids, MI 49546-8319 | 2017-11-15 |
| 1619980927 | Family Outreach Center | Clinic/Center | 1939 S Division, Grand Rapids, MI 49507 | 2006-08-15 |
| 1518973858 | North Kent Guidance Services LLC | Clinic/Center | 5250 Northland Drive, Suite A North Kent Guidance Services LLC, Grand Rapids, MI 49525-1040 | 2006-07-31 |
| 1841803517 | Dignity Counseling & Wellness, LLC | Clinic/Center | 3280 E Beltline Ct Ne, Grand Rapids, MI 49525-9494 | 2020-08-24 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49546 |
Please comment or provide details below to improve the information on GILBERT PSYCHOLOGICAL SERVICES, LLC.
| 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.