AMANDA KUBIAK


Address: 1115 Ball Ave Ne, Grand Rapids, MI 49505-5904
Phone: 6164566571

AMANDA KUBIAK (NPI# 1669945564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 1115 BALL AVE NE
City GRAND RAPIDS
State MI
Zip Code 49505-5904

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 103TC1900X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Counseling

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Competitor

Search similar providers

City GRAND RAPIDS
Zip Code 49505

Improve Information

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Dataset Information

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.

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