EMILE MULDER (NPI# 1396194908) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396194908 |
| Entity Type | Individual |
| Full Name | EMILE MULDER |
| Credential | PH.D. |
| Practice Address |
16930 Robbins Rd Suite 120 Grand Haven MI 49417-2787 |
| Practice Telephone | 6169357606 |
| Practice Fax Number | 6169357607 |
| Mailing Telephone | 6169357606 |
| Mailing Fax Number | 6169357607 |
| Enumeration Date | 2016-06-06 |
| Last Update Date | 2016-06-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
6301016347 | MI | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
6301016347 | MI | Behavioral Health & Social Service Providers |
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
6301016347 | MI | Behavioral Health & Social Service Providers |
| N | 103TM1800X |
Psychologist Specialization: Mental Retardation & Developmental Disabilities |
6301016347 | MI | Behavioral Health & Social Service Providers |
| N | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
6301016347 | MI | Behavioral Health & Social Service Providers |
| Street Address |
16930 ROBBINS RD SUITE 120 |
| City | GRAND HAVEN |
| State | MI |
| Zip Code | 49417-2787 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134282056 | Frederick Casey Bruhn II | Dentist | 16930 Robbins Rd, Suite 100, Grand Haven, MI 49417-2787 | 2006-12-19 |
| 1447819602 | Paige Galbreath | Occupational Therapist | 16930 Robbins Rd, Grand Haven, MI 49417-2787 | 2019-06-11 |
| 1104304005 | Lauren Burkhardt | Speech-Language Pathologist | 16930 Robbins Rd, Grand Haven, MI 49417-2787 | 2018-08-02 |
| 1942689708 | The Shoreline Center LLC | Psychologist | 16930 Robbins Rd, Suite 120, Grand Haven, MI 49417-2787 | 2015-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295393478 | Compassionate Christian Therapy, LLC | Social Worker | 16989 Robbins Rd, Grand Haven, MI 49417 | 2019-06-03 |
| 1275098501 | Christi Rene Fortenbacher | Massage Therapist | 318 S. Beacon Blvd, Grand Haven, MI 49417 | 2019-01-31 |
| 1518440650 | Jessica Hankins | Physical Therapy Assistant | 15773 Charles Ct, Grand Haven, MI 49417 | 2018-09-14 |
| 1558857466 | Christina Steege | Physical Therapist | 514 Friant St, Grand Haven, MI 49417 | 2018-07-03 |
| 1851822548 | Forefront Dermatology, S.c. | Dermatology | 1600 S Beacon Blvd, Suite 160, Grand Haven, MI 49417 | 2017-03-23 |
| 1982057907 | Jeremyn Duane Wiersma | Counselor | 1703 S. Despelder St., Grand Haven, MI 49417 | 2016-07-14 |
| 1760855225 | Lisa Costello | Dental Hygienist | 326 N. Ferry St, Grand Haven, MI 49417 | 2015-11-05 |
| 1508116088 | Great Lakes Chiropractic Health | Chiropractor | 15 S. Seventh St., Grand Haven, MI 49417 | 2012-09-12 |
| 1508120122 | Jonathan Stewart Rouwhorst | Family Medicine | 15161 Willowwood Ct, Grand Haven, MI 49417 | 2012-06-28 |
| 1104108836 | Employee Assistance Center Fulton | Psychologist | 321 Fulton, Grand Haven, MI 49417 | 2011-09-20 |
| Find all providers in zip 49417 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356542716 | Toni Sue Start | Psychologist | 320 Columbus Ave, Grand Haven, MI 49417-1289 | 2007-05-31 |
| 1366530271 | Michael Scott Brady | Psychologist | 726 Franklin Ave, Grand Haven, MI 49417-3401 | 2006-10-10 |
| 1528528478 | Denise R Leclaire | Psychologist | 234 1/2 Washington Ave, Grand Haven, MI 49417-1375 | 2019-03-25 |
| 1790226413 | Kooistra & Associates Psychological Services LLC | Psychologist | 41 Washington Ave, Suite 365, Grand Haven, MI 49417-1390 | 2017-03-14 |
| 1942689708 | The Shoreline Center LLC | Psychologist | 16930 Robbins Rd, Suite 120, Grand Haven, MI 49417-2787 | 2015-05-27 |
| 1528388089 | Brenda Remington | Psychologist | 321 Fulton St, Grand Haven, MI 49417-1231 | 2010-06-08 |
| 1508040627 | William P. Kooistra | Psychologist | 41 Washington Ave, Ste 365, Grand Haven, MI 49417-3304 | 2007-12-26 |
| 1306996483 | Paul Leppanen | Psychologist | 321 Fulton St, Grand Haven, MI 49417-1231 | 2007-01-11 |
| 1184723793 | Walker M Parmelee | Psychologist | 321 Fulton St, Grand Haven, MI 49417-1231 | 2006-09-21 |
| 1912004003 | Morgan E. Lachney | Psychologist | 321 Fulton St, Grand Haven, MI 49417-1231 | 2006-09-20 |
| Find all providers in GRAND HAVEN | ||||
| City | GRAND HAVEN |
| Zip Code | 49417 |
Please comment or provide details below to improve the information on EMILE MULDER.
| 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.