PHILIP RICHARD GRANISH


Address: 4341 S. Westnedge, Suite 1103, Kalamazoo, MI 49008
Phone: 2699823832

PHILIP RICHARD GRANISH (NPI# 1700324415) 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) 1700324415
Entity Type Individual
Full Name PHILIP RICHARD GRANISH
Credential LLP
Practice Address 4341 S. Westnedge
Suite 1103
Kalamazoo
MI 49008
Mailing Address 4384 Laurel Drive
Saint Joseph
MI 49085
Practice Telephone 2699823832
Practice Fax Number 2692810351
Enumeration Date 2017-02-02
Last Update Date 2017-02-02
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist 6301015434 MI Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MI MICHIGAN DEPARTMENT OF CORRECTIONS PROVIDER ID NUMBER 43191 01

Office Location

Street Address 4341 S. WESTNEDGE
SUITE 1103
City KALAMAZOO
State MI
Zip Code 49008

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144847534 Theresa Anne Aranda Pharmacist 3016 S Westendge Ave, Kalamazoo, MI 49008 2020-07-01
1336615830 Jonathon Strefling Physical Therapist 165 N. Washington Ave, Battle Creek, MI 49008 2018-10-23
1376039826 Alexander J Hessler I Pharmacist 5121 S Westnedge Ave., Kalamazoo, MI 49008 2018-07-09
1396195863 Kyle Bronsteen Student in an Organized Health Care Education/Training Program Wmu School of Medicine, 1000 Oakland Drive, Kalamazoo, MI 49008 2016-06-15
1013363449 Gwendolyn Layette Moore Home Health Aide 4441 Old Colony Road, Kalamazoo, MI 49008 2016-05-04
1982008066 Danah Kim Dentist 3130 N Westnedge Ave., Kalamazoo, MI 49008 2014-10-17
1598168874 Melissa Shields Physician Assistant Western Michigan University, 1903 Western Michigan Avenue, Kalamazoo, MI 49008 2014-10-01
1831508548 D2 Dental of Michigan, P.C. Dentist 3130 S Westnedge Avenue, Kalamazoo, MI 49008 2014-08-06
1558784330 Maureen Brown Pharmacist 5121 S. Westnedge Ave, Kalamazoo, MI 49008 2014-01-29
1881016004 Barbara Jo Dykema Pharmacist 5121 S. Westnedge, Kalamazoo, MI 49008 2014-01-07
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1043662745 Holloway Marston Psychologist 717 W South St, Apt. #6, Kalamazoo, MI 49007 2016-07-06
1033499173 Chiquitha Cornelius Psychologist 7061 W N Ave, Kalamazoo, MI 49009-9508 2011-08-21
1336311257 Margaret O Ajayi-nabors Psychologist 350 E Michigan Ave, Suite 135, Kalamazoo, MI 49007-3800 2008-03-31
1275737413 Dorman and Associates Plc Psychologist 3207 Stadium Dr, Suite 2, Kalamazoo, MI 49008-1536 2007-06-12
1922212265 Nancy Ann Hayes Psychologist 4341 S Westnedge, Suite 2109, Kalamazoo, MI 49008 2007-05-09
1043430184 Yanis Peteris Grants Psychologist 4341 S Westnedge Av, Suite 2109, Kalamazoo, MI 49008 2007-04-30
1548385792 Matthew G Rushlau Psychologist 4031 W Main St Ste 400, Kalamazoo, MI 49006-3730 2007-03-20
1477686251 Carla A Fallon Psychologist 414 W Crooked Lake Drive, Kalamazoo, MI 49009-8930 2007-03-13
1396885604 Scott Kelly & Associates PC Psychologist 3125 W Main St, Kalamazoo, MI 49006-2997 2007-02-07
1912058983 Robert L Griffith Psychologist 3719 S Burdick St, Kalamazoo, MI 49001-4837 2007-01-16
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Competitor

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City KALAMAZOO
Zip Code 49008

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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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