DR. ANTHONY M. MCCROVITZ (NPI# 1740587559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740587559 |
| Entity Type | Individual |
| Full Name | DR. ANTHONY M. MCCROVITZ |
| Credential | PH.D. |
| Practice Address |
621 Broadway Chesterton IN 46304-2259 |
| Mailing Address |
1880 Catkin Circle Chesterton IN 46304 |
| Practice Telephone | 2199215492 |
| Practice Fax Number | 2199210143 |
| Mailing Telephone | 2197712940 |
| Mailing Fax Number | 2199210143 |
| Enumeration Date | 2011-02-15 |
| Last Update Date | 2011-02-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
39002197A | IN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100110700 | 05 |
| Street Address |
621 BROADWAY |
| City | CHESTERTON |
| State | IN |
| Zip Code | 46304-2259 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912922550 | Globe Star, LLC | Psychologist | 621 Broadway, Chesterton, IN 46304-2259 | 2006-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184274268 | Trinity Healthcare Inc. | Occupational Therapist | 2300 Village Point, Chesterton, IN 46304 | 2019-09-19 |
| 1962987206 | Kara Polus | Physical Therapy Assistant | 1595 S Calumet Rd Suite 3, Chesterton, IN 46304 | 2018-10-02 |
| 1275024481 | Karson Rice | Developmental Therapist | 1595 S Calumet Rd, Suite 3, Chesterton, IN 46304 | 2018-05-23 |
| 1720527765 | Alina Broski I | Occupational Therapy Assistant | 1120 S. Calument Road, Suite 3, Chesterton, IN 46304 | 2017-02-22 |
| 1538612015 | Muhammad Ziad Souqiyyeh | Internal Medicine | 3100 Village Pt Ste 102, Chesterton, IN 46304 | 2016-08-01 |
| 1942671656 | Samantha Stremich | Psychologist | 1496 Pope Ct # 2, Chesterton, MI 46304 | 2015-10-08 |
| 1669852299 | Deborah Joan Krause | Physical Therapy Assistant | 780 Dickinson Rd., Addison Pointe Health & Rehab Center, Chesterton, IN 46304 | 2015-06-09 |
| 1538462338 | Sunil Patel Md. P.C. | Internal Medicine | 1140 S. Calumet Road, Suite #2, Chesterton, IN 46304 | 2010-12-16 |
| 1629301981 | Lindsay Allison Munden | Nurse Practitioner | 505 County Road 1100 North, Chesterton, IN 46304 | 2009-09-17 |
| 1881851509 | Total Renal Care Inc | Clinic/Center | 711 Plaza Dr, Ste 6, Chesterton, IN 46304 | 2008-05-20 |
| Find all providers in zip 46304 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780037283 | Kymberly A Groceman | Counselor | 902 Commodore Court, Chesterton, IN 46304-9667 | 2016-07-20 |
| 1609042498 | Autumn M Vendramin | Counselor | 442 N Calumet Rd, Ste 100, Chesterton, IN 46304-2489 | 2008-05-01 |
| 1285836585 | Joseph W Adams Jr. | Counselor | 824 Olde Towne Sq, Chesterton, IN 46304-1564 | 2007-05-31 |
| 1912128349 | Mary Lee Buckman | Counselor | 75 E 1100 N, Chesterton, IN 46304-9349 | 2007-05-02 |
| 1033742416 | Beth Liane Noel | Counselor | 1008 Broadway, Chesterton, IN 46304-2149 | 2020-02-13 |
| 1548734809 | Jennifer Kalvaitis | Counselor | 442 Sand Creek Dr Ste 101, Chesterton, IN 46304-1596 | 2019-01-18 |
| 1558891515 | Rachael Cloud | Counselor | 1008 Broadway, Chesterton, IN 46304-2149 | 2017-06-13 |
| 1477004232 | Karen Marie Fatouros | Counselor | 215 W Indiana Ave, Chesterton, IN 46304-2457 | 2016-10-17 |
| 1679915193 | Lisa Mae Daube | Counselor | 442 N Calumet Rd, Suite 100, Chesterton, IN 46304-2489 | 2013-07-25 |
| 1659648798 | Vivian R.c. Witter | Counselor | 215 W Indiana Ave, Chesterton, IN 46304-2457 | 2011-11-17 |
| Find all providers in CHESTERTON | ||||
| City | CHESTERTON |
| Zip Code | 46304 |
Please comment or provide details below to improve the information on DR. ANTHONY M. MCCROVITZ.
| 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.