SEAN W HARRELL (NPI# 1679938310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679938310 |
| Entity Type | Organization |
| Organization Name | SEAN W HARRELL |
| Practice Address |
3501 Lake Eastbrook Blvd Se Ste 280 Grand Rapids MI 49546 |
| Mailing Address |
351 Lake Eastbrook Blvd Se Ste 280 Grand Rapids MI 49546 |
| Practice Telephone | 6162645032 |
| Practice Fax Number | 5173239531 |
| Mailing Telephone | 6162645032 |
| Mailing Fax Number | 5173239531 |
| Enumeration Date | 2015-12-23 |
| Last Update Date | 2015-12-23 |
| Authorized Official Name | SEAN W HARRELL (OWNER) |
| Authorized Official Telephone | 6162645032 |
| Authorized Official Credential | PSYCHOLOGIST |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 6301016096 | MI | Behavioral Health & Social Service Providers |
| Street Address |
3501 LAKE EASTBROOK BLVD SE STE 280 |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49546 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992702542 | Michael T Burcon | Chiropractor | 3501 Lake Eastbrook Blvd Se, Suite 252, Grand Rapids, MI 49546-5938 | 2005-06-28 |
| 1962057778 | Pathways Counseling and Therapy | Social Worker | 3501 Lake Eastbrook Blvd Se, Grand Rapids, MI 49546-5938 | 2019-08-08 |
| 1699146134 | Grand Rapids Therapy Pllc | Social Worker | 3501 Lake Eastbrook Blvd Se, Ste 280, Grand Rapids, MI 49546-5938 | 2015-10-09 |
| 1215317607 | Julia A Mcintire | Counselor | 3501 Lake Eastbrook Blvd Se, Suite 106, Grand Rapids, MI 49546-5938 | 2015-06-01 |
| 1164849147 | David Brian Moore | Social Worker | 3501 Lake Eastbrook Blvd Se, Suite 258, Grand Rapids, MI 49546-5938 | 2014-03-27 |
| 1417371337 | Khalia Renita Twork | Counselor | 3501 Lake Eastbrook Blvd Se, Suite 258, Grand Rapids, MI 49546-5938 | 2014-02-12 |
| 1184054652 | Adolescent and Family Behavioral Health Services | Psychologist | 3501 Lake Eastbrook Blvd Se, #258, Grand Rapids, MI 49546-5938 | 2013-11-20 |
| 1598097958 | Miguel Ricardo Quintanilla | Social Worker | 3501 Lake Eastbrook Blvd Se, #258, Grand Rapids, MI 49546-5938 | 2010-02-09 |
| 1689805707 | Lisa Cheryl Townsend | Counselor | 3501 Lake Eastbrook Blvd Se, Suite 110, Grand Rapids, MI 49546-5938 | 2009-08-06 |
| 1770761850 | Judith Ellen Snow | Psychologist | 3501 Lake Eastbrook Blvd Se, Suite 146, Grand Rapids, MI 49546-5938 | 2008-01-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437762986 | Amanda Mae Ostrom | Speech-Language Pathologist | 710 Kenmore Ave Se, #110, Grand Rapids, MI 49546 | 2020-08-25 |
| 1063075562 | Kelly Lynn Ibarra | Counselor | 4467 Cascade Road Se, Suite #4479, Grand Rapids, MI 49546 | 2019-04-19 |
| 1891257036 | Jessica Matthews LLC | Counselor | 4127 Embassy Drive Se, Grand Rapids, MI 49546 | 2019-04-05 |
| 1326518531 | Neah Morgan | Technician | 4220 Burton St Se, Grand Rapids, MI 49546 | 2018-11-29 |
| 1316430267 | Michael John Benskey | Case Manager/Care Coordinator | 4065 Saladin St Se, Grand Rapids, MI 49546 | 2018-06-14 |
| 1679062772 | Smile Cascade, P.C. | Clinic/Center | 4505 Cascade Rd Se # A, Grand Rapids, MI 49546 | 2018-05-03 |
| 1720583289 | Jeromy Krogman | Counselor | 826 Parchment Drive Se, Grand Rapids, MI 49546 | 2018-03-27 |
| 1841792660 | Affordable Hearing Clinic | Hearing Instrument Specialist | 833 Kenmoor Ave Se Ste G, Grand Rapids, MI 49546 | 2018-03-07 |
| 1689176133 | Kelly Pines | Physical Therapist | 625 Kenmoor Ave Suite 306, Grand Rapids, MI 49546 | 2018-03-01 |
| 1467971440 | Deanna Elizabeth Saenz | Social Worker | 2100 Raybrook St Se Ste 300, Grand Rapids, MI 49546 | 2017-09-12 |
| Find all providers in zip 49546 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205490240 | Maxwell Taylor | Psychologist | 401 Hall St Sw Ste 112b, Grand Rapids, MI 49503-4988 | 2019-04-25 |
| 1760995146 | Stephanie Elizabeth Karek | Psychologist | 4467 Cascade Rd Se Ste A4469, Grand Rapids, MI 49546-3791 | 2017-11-08 |
| 1114447745 | Andrea Gumbko | Psychologist | 3403 Michigan St Ne, Grand Rapids, MI 49525-3408 | 2017-06-24 |
| 1720529332 | Clearwater Counseling & Wellness LLC | Psychologist | 1525 E Beltline Se, Grand Rapids, MI 49525-4598 | 2017-03-15 |
| 1851748768 | Heather Dermyer, LLC | Psychologist | 3330 Centennial Rdg, #205, Grand Rapids, MI 49546-7098 | 2016-05-20 |
| 1902265234 | Lauren Conkright | Psychologist | 1009 44th St Se, Suite 103, Grand Rapids, MI 49508 | 2016-02-15 |
| 1225409220 | Christian Robert Komor | Psychologist | 235 Louis St Nw, Grand Rapids, MI 49503-2600 | 2015-10-15 |
| 1780022194 | Gregory V Mallis | Psychologist | 1870 Leonard St Se, Grand Rapids, MI 49505-5650 | 2013-06-07 |
| 1821344136 | Laura Ann Doughty | Psychologist | 800 Monroe Ave Nw Ste 206, Grand Rapids, MI 49503-1448 | 2012-07-24 |
| 1528321296 | Mikhila N Wildey | Psychologist | 300 58th St Se, Grand Rapids, MI 49548-5984 | 2012-06-19 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49546 |
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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.