AMANDA KUBIAK (NPI# 1669945564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669945564 |
Entity Type | Individual |
Full Name | AMANDA KUBIAK |
Practice Address |
1115 Ball Ave Ne Grand Rapids MI 49505-5904 |
Practice Telephone | 6164566571 |
Enumeration Date | 2019-01-03 |
Last Update Date | 2019-01-03 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
Y | 103TC1900X |
Psychologist Specialization: Counseling |
Behavioral Health & Social Service Providers |
Street Address |
1115 BALL AVE NE |
City | GRAND RAPIDS |
State | MI |
Zip Code | 49505-5904 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174601512 | Arbor Circle Corporation | Counselor | 1115 Ball Ave Ne, Grand Rapids, MI 49505-5904 | 2006-11-02 |
1982201075 | Christopher Mcguire | Counselor | 1115 Ball Ave Ne, Grand Rapids, MI 49505-5904 | 2020-10-02 |
1447867965 | Jordan Elizabeth Gurney | Social Worker | 1115 Ball Ave Ne, Grand Rapids, MI 49505-5904 | 2020-09-29 |
1699381764 | Amanda Marie Vins | Social Worker | 1115 Ball Ave Ne, Grand Rapids, MI 49505-5904 | 2020-09-23 |
1235745522 | Colin Thomas Moylan | Social Worker | 1115 Ball Ave Ne, Grand Rapids, MI 49505-5904 | 2020-09-22 |
1477167682 | Sarah Grace Cline | Social Worker | 1115 Ball Ave Ne, Grand Rapids, MI 49505-5904 | 2020-09-04 |
1417561739 | Bianca Butler | Social Worker | 1115 Ball Ave Ne, Grand Rapids, MI 49505-5904 | 2020-09-03 |
1518571272 | Nicholas Morris | Respite Care | 1115 Ball Ave Ne, Grand Rapids, MI 49505-5904 | 2020-09-01 |
1124631338 | Ariana Gabrielle Deherder | Social Worker | 1115 Ball Ave Ne, Grand Rapids, MI 49505-5904 | 2020-08-26 |
1912519760 | Heidi Zeman | Social Worker | 1115 Ball Ave Ne, Grand Rapids, MI 49505-5904 | 2020-08-21 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285276097 | Molly Beth Kerkstra | Home Health Aide | 1115 Ball Ave Nw, Grand Rapids, MI 49505 | 2019-10-14 |
1154849677 | Roshawn Nichol Whitley | Technician | 891 Maryland Ave, Grand Rapids, MI 49505 | 2017-09-05 |
1447778923 | Kelly Benzin-brinks | Social Worker | 1965 3 Mile Rd Ne, Grand Rapids, MI 49505 | 2017-09-05 |
1033560404 | Taylor Nolan Boyd | Speech-Language Pathologist | 400 Ann St Ne Ste 106a, Grand Rapids, MI 49505 | 2016-06-28 |
1023465002 | Calvin Athy | Counselor | 1101 Ballave Ne, Grand Rapids, MI 49505 | 2016-05-19 |
1821456682 | Kelly Van Huisen | Counselor | 1115 Ball Avenue Ne, Building B, Grand Rapids, MI 49505 | 2016-02-08 |
1780051102 | Mark Squeteri | Social Worker | 1345 Monroe Ave Nw Ste 234, Grand Rapids, MI 49505 | 2015-09-02 |
1346637337 | Shelby Fullington | Social Worker | 1011 Ball Ave Ne, Grand Rapids, MI 49505 | 2015-04-17 |
1457745325 | Lester Anderson II | Social Worker | 1115 Ball Ave, Grand Rapids, MI 49505 | 2015-03-27 |
1730570151 | Nicole Brown | Counselor | 1345 Monroe Ave Nw Ste 204, Grand Rapids, MI 49505 | 2015-02-06 |
Find all providers in zip 49505 |
Taxonomy Code | 103TC1900X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Counseling |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609416197 | Alexander Sydney Houseknecht | Psychologist | 337 Visser Pl Se, Grand Rapids, MI 49506-1541 | 2020-01-13 |
1730745852 | Kls Counseling LLC | Psychologist | 688 Cascade West Pkwy Se, Grand Rapids, MI 49546-2171 | 2019-05-14 |
1609347285 | Luwillis Gibson | Psychologist | 1014 Dunham St Se, Grand Rapids, MI 49506-2659 | 2018-12-07 |
1598257966 | Austin Knight | Psychologist | 1010 Watson St Sw, Grand Rapids, MI 49504-6148 | 2018-06-01 |
1609203694 | Lynn Jackson | Psychologist | 456 Plymouth Ave Ne Ste B, Grand Rapids, MI 49505 | 2013-10-04 |
1184996969 | Joseph Edward Budnick | Psychologist | 1150 Brownwood Ave Nw, Grand Rapids, MI 49504-3653 | 2012-02-08 |
1265660963 | Gary Michael Cole | Psychologist | 1115 Ball Ave Ne Bldg C, Grand Rapids, MI 49505-5904 | 2009-07-01 |
1073763710 | Kylene Lynn Schipper | Psychologist | 3300 36th St, Grand Rapids, MI 49518-0007 | 2008-09-30 |
1295986933 | Jeffrey Alan Bootzin | Psychologist | 330 Eastern Ave Se, Grand Rapids, MI 49503-4737 | 2008-09-30 |
1770730434 | Kurt Thomas Ellis | Psychologist | 4920 Plainfield Ave Ne, Suite C, Grand Rapids, MI 49525-1010 | 2008-08-25 |
Find all providers in GRAND RAPIDS |
City | GRAND RAPIDS |
Zip Code | 49505 |
Please comment or provide details below to improve the information on AMANDA KUBIAK.
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.