MR. PATRICK JOHN WITRI (NPI# 1568667400) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568667400 |
| Entity Type | Individual |
| Full Name | MR. PATRICK JOHN WITRI |
| Credential | MA, LLP, CAADC, NCGC |
| Practice Address |
455 Cherry St Se Suite O Grand Rapids MI 49503-4658 |
| Practice Telephone | 6167742660 |
| Practice Fax Number | 6163013494 |
| Mailing Telephone | 6167742660 |
| Mailing Fax Number | 6163013494 |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2011-07-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
6301009592 | MI | Behavioral Health & Social Service Providers |
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
6301009592 | MI | Behavioral Health & Social Service Providers |
| N | 103TC1900X |
Psychologist Specialization: Counseling |
6301009592 | MI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NATIONALLY CERTIFIED GAMBLING COUNSELOR, LEVEL II | 1036 | 01 | |
| MI | LIMITED LICENSE PSYCHOLOGIST | 6301009592 | 01 |
| MI | CERTIFIED ADVANCED ALCOHOL AND DRUG COUNSELOR | C-00601 | 01 |
| Street Address |
455 CHERRY ST SE SUITE O |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49503-4658 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396718623 | Juli S Wemmer | Dentist | 455 Cherry St Se, Grand Rapids, MI 49503-4658 | 2006-02-08 |
| 1134360019 | Stonecastle Dentistry Pllc | Dentist | 455 Cherry St Se, Grand Rapids, MI 49503-4658 | 2009-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801496195 | Airway Oxygen, Inc. | Durable Medical Equipment & Medical Supplies | Lemmen Holton Cancer Pavilion, 145 Michigan St Ne Ste 3400, Grand Rapids, MI 49503 | 2020-10-27 |
| 1730707282 | Adriana Molina-schmuker | Counselor | 901 Eastern Avenue Ne, Grand Rapids, MI 49503 | 2020-07-10 |
| 1477176949 | Kimberly Buskirk | Specialist | 1131 Ionia Ava Nw, Grand Rapids, MI 49503 | 2020-05-19 |
| 1124647805 | Jared Host | Speech-Language Pathologist | Mercy Health Hauenstein Neuroscience Center 220 Cherry, Grand Rapids, MI 49503 | 2020-04-13 |
| 1265061378 | Heather Gladfelter | Student in an Organized Health Care Education/Training Program | 339 Barclay Ave Ne Ste 300, Grand Rapids, MI 49503 | 2020-04-02 |
| 1194368647 | Amy Jo Arends | Nurse Practitioner | 350 Lafayette S.e., Suite 301, Grand Rapids, MI 49503 | 2019-10-28 |
| 1376185199 | Beth Arce | Occupational Therapist | 245 Cherry St Se Suite 302, Grand Rapids, MI 49503 | 2019-10-14 |
| 1295387256 | Althea Ziolkowski | Licensed Practical Nurse | Salvation Army Turning Point Programs, 1215 Fulton St E, Grand Rapids, MI 49503 | 2019-07-10 |
| 1790340719 | Heather Anne Fox | Occupational Therapist | Marywood, 111 Lakeside Dr Ne, Grand Rapids, MI 49503 | 2019-05-06 |
| 1184182883 | April L Kaiserlian | Social Worker | 983 Spaulding Ave Ne, Ada, MI 49503 | 2019-03-12 |
| Find all providers in zip 49503 | ||||
| Taxonomy Code | 103TA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669945564 | Amanda Kubiak | Psychologist | 1115 Ball Ave Ne, Grand Rapids, MI 49505-5904 | 2019-01-03 |
| 1760975460 | Kayleigh Lambert | Psychologist | 324 Lyon St Ne, Grand Rapids, MI 49503-5607 | 2018-06-07 |
| 1174051692 | Rodney Pallett | Psychologist | 1115 Ball Ave Ne, Grand Rapids, MI 49505-5904 | 2017-05-29 |
| 1720375157 | Heart of The City | Psychologist | 100 Cherry St Se, Grand Rapids, MI 49503 | 2011-07-06 |
| 1316073562 | Marsha Jacqueline Cable | Psychologist | 3949 Sparks Dr Se, Suite 103, Grand Rapids, MI 49546-6110 | 2007-02-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972137883 | Lazarusman Consulting, Pllc | Psychologist | 2416 Peck St, Muskegon Hts, MI 49444-1431 | 2020-02-29 |
| 1861031189 | Christina M Kaplan, Pllc | Psychologist | 39520 Woodward Ave Ste 201, Bloomfield Hills, MI 48304-5057 | 2020-01-03 |
| 1184273716 | Drbrandi | Psychologist | 16250 Northland Dr Ste 240, Southfield, MI 48075-5227 | 2019-09-06 |
| 1790145548 | Cecil Cosey IIi | Psychologist | 11000 W Micnichols, Detroit, MI 48238 | 2016-03-07 |
| 1508202920 | Abaris Health | Psychologist | 2501 Rochester Ct, Troy, MI 48083-1875 | 2013-05-13 |
| 1861748238 | Pro Med Substance Abuse Program LLC | Psychologist | 2891 E. Maple Rd. Suite 200, Troy, MI 48083 | 2012-08-03 |
| 1003161282 | Michael George Brock | Psychologist | 2514 Biddle Avenue, Wyandotte, MI 48192 | 2012-07-13 |
| 1972860005 | Samaritas | Psychologist | 128 S Cochran Ave, Charlotte, MI 48813-1510 | 2012-04-13 |
| 1619254042 | Kathryn Bartz | Psychologist | 500 Barfield Dr., Hastings, MI 49058-9018 | 2011-11-14 |
| 1609100627 | Laytoya Chevette Lambeth | Psychologist | 51255 Luke Ln, Novi, MI 48374-1004 | 2009-09-23 |
| Find all providers with the same taxonomy | ||||
| City | GRAND RAPIDS |
| Zip Code | 49503 |
Please comment or provide details below to improve the information on MR. PATRICK JOHN WITRI.
| 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.