MADRID PSYCHOLOGICAL ASSOCIATES (NPI# 1770753899) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770753899 |
| Entity Type | Organization |
| Organization Name | MADRID PSYCHOLOGICAL ASSOCIATES |
| Practice Address |
4467 Byron Center Ave Sw Wyoming MI 49519-4808 |
| Practice Telephone | 6165345445 |
| Practice Fax Number | 6165345536 |
| Mailing Telephone | 6165345445 |
| Mailing Fax Number | 6165345536 |
| Enumeration Date | 2008-03-04 |
| Last Update Date | 2008-07-10 |
| Authorized Official Name | DR. RAUL P. MADRID (CHIEF ASSOCIATE/PRESIDENT) |
| Authorized Official Telephone | 6165345445 |
| Authorized Official Credential | PSY. D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
6301007493 | MI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUE CROSS BLUE SHIELD | 0D14683 | 01 |
| Street Address |
4467 BYRON CENTER AVE SW |
| City | WYOMING |
| State | MI |
| Zip Code | 49519-4808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598750416 | Lynnette Gay Burgess | Optometrist | 4467 Byron Center Ave Sw, Wyoming, MI 49519-4808 | 2005-09-16 |
| 1427500578 | Lydia Sutton | Nurse Practitioner | 4467 Byron Center Ave Sw, Wyoming, MI 49519-4808 | 2016-10-25 |
| 1699180836 | Scott Anthony Baar | Nurse Practitioner | 4467 Byron Center Ave Sw, Wyoming, MI 49519 | 2014-06-26 |
| 1609294537 | West Michigan Primary Care | Internal Medicine | 4467 Byron Center Ave Sw, Wyoming, MI 49519-4808 | 2014-03-28 |
| 1639418932 | West Michigan Vision Specialists | Optometrist | 4467 Byron Center Ave Sw, Wyoming, MI 49519-4808 | 2013-02-06 |
| 1124205547 | South Kent Vision Center PC | Optometrist | 4467 Byron Center Ave Sw, Wyoming, MI 49519-4808 | 2008-01-28 |
| 1699974154 | Kelly Marie Daugherty Zielaskowski | Optometrist | 4467 Byron Center Ave Sw, Wyoming, MI 49519-4808 | 2007-07-15 |
| 1144281718 | Robert Arthur Hohendorf | Optometrist | 4467 Byron Center Ave Sw, Wyoming, MI 49519-4808 | 2006-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609364009 | Alexandra K Hylen | Dentist | 4489 Byron Center Ave Sw Ste A, Wyoming, MI 49519 | 2018-05-01 |
| 1962925685 | Nicole Lee Kolasa | Rehabilitation Counselor | 2038 Melvin St. Sw, Wyoming, MI 49519 | 2017-07-25 |
| 1720534472 | Michael Ash | Rehabilitation Practitioner | 1870 36th Street, Wyoming, MI 49519 | 2016-08-31 |
| 1891248993 | Kayleigh Saucier | Family Medicine | 5900 Byron Center Avenue Se, Wyoming, MI 49519 | 2016-07-26 |
| 1093112799 | Wmro LLC | Radiology | 5950 Metro Way, Wyoming, MI 49519 | 2014-11-24 |
| 1033547658 | Maranda Catherine Gary | Nurse Practitioner | 2122 Health Drive, Wyoming, MI 49519 | 2013-10-16 |
| 1144657800 | Diana Ro | Psychologist | 4211 Parkway Place Sw, #100, Wyoming, MI 49519 | 2013-09-26 |
| 1386077873 | Lindsey Elizabeth Chorney | Nurse Practitioner | 2122 Health Drive Sw, Suite 133, Wyoming, MI 49519 | 2013-08-20 |
| 1124377163 | Vision and Sensory Center of Michigan LLC | Optometrist | 4467 Byron Center Ave., Wyoming, MI 49519 | 2012-09-06 |
| 1881940203 | Judah | Durable Medical Equipment & Medical Supplies | 2975 Waterchase Way Sw Suite 307, Wyoming, MI 49519 | 2012-08-03 |
| Find all providers in zip 49519 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841701430 | Tonya Antionette Adkins-mckeever | Psychologist | 2511 Newstead Ave Sw, Wyoming, MI 49509-2031 | 2017-10-23 |
| 1578050159 | Caitlin Caprice Erdman | Psychologist | 1843 Rw Berends Dr Sw, Wyoming, MI 49519-4955 | 2018-04-18 |
| 1831550979 | Kayley Lafontaine | Psychologist | 1009 44th St Sw, Suite 103, Wyoming, MI 49509 | 2016-03-17 |
| 1689033037 | Jodine Cole Meyer | Psychologist | 1009 44th St Sw, Wyoming, MI 49509 | 2016-02-14 |
| 1912366451 | Elizabeth Solan | Psychologist | 1009 44th St Sw, Suite 103b, Wyoming, MI 49509-4480 | 2016-02-11 |
| 1609292713 | Amanda Larson | Psychologist | 1009 44th St Sw, 103, Wyoming, MI 49509 | 2014-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912504002 | Being Centered LLC | Psychologist | 716 Amity St, Lowell, MI 49331-1388 | 2020-10-02 |
| 1972115251 | Transformative Counseling Services | Psychologist | 8965 Lenter Dr Se, Caledonia, MI 49316-7793 | 2020-08-19 |
| 1174147755 | Jane Ann Connon | Psychologist | 5619 Downing St, Portage, MI 49024-9519 | 2020-05-30 |
| 1790305068 | Kole Mason | Psychologist | 1549 Pine Valley Blvd Apt 8, Ann Arbor, MI 48104-6917 | 2020-04-16 |
| 1881229151 | Shannon Sugarman Psychotherapy | Psychologist | 27655 Middlebelt Rd Ste 140, Farmington Hills, MI 48334-5029 | 2020-03-07 |
| 1376178020 | Pro-active Counseling LLC | Psychologist | 1410 84th St Sw, Byron Center, MI 49315-9344 | 2020-03-03 |
| 1609416197 | Alexander Sydney Houseknecht | Psychologist | 337 Visser Pl Se, Grand Rapids, MI 49506-1541 | 2020-01-13 |
| 1801431481 | Christine Williams, Ms, LLP,pllc | Psychologist | 190 N Main St Ste D, Plymouth, MI 48170-1236 | 2019-11-07 |
| 1134761398 | Mackenzie Mercer | Psychologist | 5625 Water Tower Pl Ste 310, Clarkston, MI 48346-2674 | 2019-10-09 |
| 1568022465 | Grace Yensch | Psychologist | 1145 W Randall St Ste 2a, Coopersville, MI 49404-1393 | 2019-06-13 |
| Find all providers with the same taxonomy | ||||
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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.