JEFF CARROLL (NPI# 1407995319) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407995319 |
| Entity Type | Individual |
| Full Name | JEFF CARROLL |
| Credential | PHD |
| Practice Address |
854 Washington Ave Suite 330 Holland MI 49423-7144 |
| Mailing Address |
602 Michigan Ave Holland MI 49423-4918 |
| Practice Telephone | 6163553926 |
| Mailing Telephone | 6163925141 |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2010-08-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
6301006647 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639443922 | Jeff Carroll | Contractor | 200 Carroll Ln, Pamplin, VA 23958-2145 | 2012-03-04 |
| 1285768960 | Jeff Lynn Carroll | Dentist | 2001 Marlton Pike E, Cherry Hill, NJ 08003-1201 | 2007-03-15 |
| Street Address |
854 WASHINGTON AVE SUITE 330 |
| City | HOLLAND |
| State | MI |
| Zip Code | 49423-7144 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487691358 | Criselda Bazan | Social Worker | 854 Washington Ave, Holland, MI 49423-7144 | 2006-06-01 |
| 1477166502 | Holland Hospital | Internal Medicine | 854 Washington Ave, Holland, MI 49423-7144 | 2020-08-28 |
| 1386295319 | Caitlin Elisabeth Shoemaker | Behavior Technician | 854 Washington Ave, Holland, MI 49423-7144 | 2019-09-20 |
| 1215418686 | Lanie M Nyboer | Behavior Technician | 854 Washington Ave, Holland, MI 49423-7144 | 2018-08-23 |
| 1851825012 | Benjamin Lowe | Behavioral Analyst | 854 Washington Ave, Holland, MI 49423-7144 | 2017-04-14 |
| 1689010936 | Aaron Bansen | Physical Therapist | 854 Washington Ave, Suite 200, Holland, MI 49423-7144 | 2013-05-14 |
| 1871802058 | Spectrum Health Primary Care Partners | Internal Medicine | 854 Washington Ave, Holland, MI 49423-7144 | 2010-10-05 |
| 1487881173 | Jennifer Lou Laux-ludwig | Psychologist | 854 Washington Ave, Suite #330, Holland, MI 49423-7144 | 2009-06-19 |
| 1801033477 | Teresa Marie Winebrenner | Physical Therapist | 854 Washington Ave, Holland, MI 49423-7144 | 2009-01-19 |
| 1699929000 | Michigan Medical PC | Internal Medicine | 854 Washington Ave, Suite 410, West B Bldg., Holland, MI 49423-7144 | 2008-11-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356996714 | Ella Rose Marx | Social Worker | 412 Century Lane, Holland, MI 49423 | 2019-08-02 |
| 1245720424 | Amanda Ann Allen | Behavior Technician | 165 Sorrento Drive, Holland, MI 49423 | 2018-05-14 |
| 1588194237 | Emily Amila Geurink | Physical Therapy Assistant | 4037 43rd St, Holland, MI 49423 | 2017-06-15 |
| 1285081737 | Kara Draayer | Nurse Anesthetist, Certified Registered | 25 W 8th St Ste 200, Holland, MI 49423 | 2016-05-14 |
| 1851776413 | Sara Ty | Occupational Therapist | 789 South Meadow Court, Holland, MI 49423 | 2015-07-24 |
| 1508243056 | Andrew Peasley | Chiropractor | 436 Century Ln., Holland, MI 49423 | 2015-05-05 |
| 1437536497 | Deborah Donnelly | Physical Therapy Assistant | 1221 16th Street, Holland, MI 49423 | 2015-04-29 |
| 1366846024 | John Nguyen | Pharmacist | 747 E 16th St, Holland, MI 49423 | 2014-10-09 |
| 1003257817 | Courtney Young | Social Worker | 96 W 15 Street Midtown Center- Arbor Circle, Holland, MI 49423 | 2013-07-09 |
| 1689014391 | Jason Pettet | Acupuncturist | 500 West 17th St., Holland, MI 49423 | 2013-06-26 |
| Find all providers in zip 49423 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245852995 | Tiffany Armitage | Psychologist | 12265 James St Bldg A, Holland, MI 49424-8613 | 2020-05-15 |
| 1841726809 | Hope & Wholeness Psychology Center, LLC | Psychologist | 340 104th Ave, Holland, MI 49423-9149 | 2017-05-11 |
| 1720221179 | New Direction Counseling Center | Psychologist | 446 W 40th St, Holland, MI 49423-4644 | 2009-04-15 |
| 1154511772 | John L. Gibson | Psychologist | 12930 James St Ste 130, Holland, MI 49424-8324 | 2007-07-30 |
| 1528273968 | Daniel Girard Rooks | Psychologist | 3124 N Wellness Dr Ste 30, Suite 30, Holland, MI 49424-8121 | 2007-05-11 |
| 1992839591 | Developmental Enhancement | Psychologist | 854 Washington Ave Ste 600, Holland, MI 49423-7141 | 2007-03-15 |
| 1265586648 | Patricia V Roehling | Psychologist | 12978 James St Ste 10, Holland, MI 49423 | 2007-01-22 |
| 1912511866 | Miranda Marie Gonzalez | Psychologist | 12930 James St Ste 140, Holland, MI 49424-8324 | 2020-09-08 |
| 1962043315 | D Epler Psychological Services LLC | Psychologist | 82 Buck Rd Ste 3, Holland, PA 18966-1751 | 2019-10-07 |
| 1699323295 | Katherine Tennant | Psychologist | 854 Washington Ave Ste 600, Holland, MI 49423-7141 | 2019-08-28 |
| Find all providers in HOLLAND | ||||
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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.