CHERRY STREET SERVICES INC (NPI# 1801298716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801298716 |
| Entity Type | Organization |
| Organization Name | CHERRY STREET SERVICES INC |
| Practice Address |
100 Cherry St Se Grand Rapids MI 49503-4526 |
| Practice Telephone | 6169658200 |
| Practice Fax Number | 6169405366 |
| Mailing Telephone | 6169658200 |
| Mailing Fax Number | 6169405366 |
| Enumeration Date | 2014-09-23 |
| Last Update Date | 2014-09-23 |
| Authorized Official Name | MR. CHRIS SHEA (CEO) |
| Authorized Official Telephone | 6167762129 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| N | 122300000X | Dentist | Dental Providers | ||
| N | 124Q00000X | Dental Hygienist | Dental Providers | ||
| N | 152W00000X | Optometrist | Eye and Vision Services Providers | ||
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| N | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians | ||
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104423508 | Cherry Street Services Inc | Community/Behavioral Health | 100 Wexford St Se Rm 214, Wyoming, MI 49548-2212 | 2020-10-08 |
| 1265081418 | Cherry Street Services Inc | Clinic/Center | 2125 Wrenwood St Sw Ofc Therapist, Wyoming, MI 49519-2362 | 2019-09-10 |
| 1184974263 | Cherry Street Services Inc | Counselor | 2929 Burlingame Ave Sw, Wyoming, MI 49509-2609 | 2012-09-14 |
| 1346600905 | Cherry Street Services Inc | Clinic/Center | 1611 Oak Ave, Muskegon, MI 49442-2468 | 2016-02-25 |
| 1427438944 | Cherry Street Services Inc | Clinic/Center | 1033 Healthcare Dr, Charlotte, MI 48813-1058 | 2015-06-01 |
| 1184015539 | Cherry Street Services Inc | Clinic/Center | 204 E Muskegon St, Cedar Springs, MI 49319-9326 | 2015-02-06 |
| 1962800680 | Cherry Street Services Inc | Dentist | 1230 W State St, Hastings, MI 49058-9712 | 2014-12-11 |
| 1316340094 | Cherry Street Services Inc | Social Worker | 421 Fountain St Ne, Grand Rapids, MI 49503-3334 | 2014-10-08 |
| 1396165601 | Cherry Street Services Inc | Dentist | 100 Cherry Street, Grand Rapids, MI 49503 | 2014-04-25 |
| 1265862841 | Cherry Street Services Inc | Social Worker | 330 W Woodlawn Ave, Hastings, MI 49058-1035 | 2013-11-19 |
| Street Address |
100 CHERRY ST SE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49503-4526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033182894 | Mary P Chelsky | Optometrist | 100 Cherry St Se, Grand Rapids, MI 49503-4526 | 2006-02-10 |
| 1043837925 | Mawada Osman | Optometrist | 100 Cherry St Se, Grand Rapids, MI 49503-4526 | 2020-06-26 |
| 1922637651 | Dominic Reihl | Student in an Organized Health Care Education/Training Program | 100 Cherry St Se, Grand Rapids, MI 49503-4526 | 2020-04-04 |
| 1578108155 | Susan Jean Hutson | Dental Assistant | 100 Cherry St Se, Grand Rapids, MI 49503-4526 | 2019-11-07 |
| 1639711013 | Kelsey Renee Butcher | Registered Nurse | 100 Cherry St Se, Grand Rapids, MI 49503-4526 | 2019-10-17 |
| 1912551219 | Mallory Anderson | Dental Hygienist | 100 Cherry St Se, Grand Rapids, MI 49503-4526 | 2019-07-25 |
| 1669025888 | Rachel Owen | Nurse Practitioner | 100 Cherry St Se, Grand Rapids, MI 49503-4526 | 2019-07-17 |
| 1255993481 | Nicholae Brown | Dentist | 100 Cherry St Se, Grand Rapids, MI 49503-4526 | 2019-07-09 |
| 1659931020 | Maria E Sicco | Optometrist | 100 Cherry St Se, Grand Rapids, MI 49503-4526 | 2019-06-18 |
| 1245894385 | Allison Lynn-yung Vankampen | Social Worker | 100 Cherry St Se, Grand Rapids, MI 49503-4526 | 2019-04-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801496195 | Airway Oxygen, Inc. | Durable Medical Equipment & Medical Supplies | Lemmen Holton Cancer Pavilion, 145 Michigan St Ne Ste 3400, Grand Rapids, MI 49503 | 2020-10-27 |
| 1730707282 | Adriana Molina-schmuker | Counselor | 901 Eastern Avenue Ne, Grand Rapids, MI 49503 | 2020-07-10 |
| 1477176949 | Kimberly Buskirk | Specialist | 1131 Ionia Ava Nw, Grand Rapids, MI 49503 | 2020-05-19 |
| 1124647805 | Jared Host | Speech-Language Pathologist | Mercy Health Hauenstein Neuroscience Center 220 Cherry, Grand Rapids, MI 49503 | 2020-04-13 |
| 1265061378 | Heather Gladfelter | Student in an Organized Health Care Education/Training Program | 339 Barclay Ave Ne Ste 300, Grand Rapids, MI 49503 | 2020-04-02 |
| 1194368647 | Amy Jo Arends | Nurse Practitioner | 350 Lafayette S.e., Suite 301, Grand Rapids, MI 49503 | 2019-10-28 |
| 1376185199 | Beth Arce | Occupational Therapist | 245 Cherry St Se Suite 302, Grand Rapids, MI 49503 | 2019-10-14 |
| 1295387256 | Althea Ziolkowski | Licensed Practical Nurse | Salvation Army Turning Point Programs, 1215 Fulton St E, Grand Rapids, MI 49503 | 2019-07-10 |
| 1790340719 | Heather Anne Fox | Occupational Therapist | Marywood, 111 Lakeside Dr Ne, Grand Rapids, MI 49503 | 2019-05-06 |
| 1184182883 | April L Kaiserlian | Social Worker | 983 Spaulding Ave Ne, Ada, MI 49503 | 2019-03-12 |
| Find all providers in zip 49503 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326649120 | Source Medical Solutions Pllc | General Practice | 625 Kenmoor Ave Se Ste 301, Grand Rapids, MI 49546-2395 | 2020-11-06 |
| 1023406188 | Elite Health, Plc | General Practice | 310 Fulton St E, Suite A, Grand Rapids, MI 49503-4302 | 2014-12-24 |
| 1275712887 | Dr. Rafael Torres PC | General Practice | 6460 28th St Se, Grand Rapids, MI 49546-6918 | 2007-10-31 |
| 1497967947 | William A Wagner | General Practice | 2317 Elmwood Dr Se, Grand Rapids, MI 49506-4055 | 2007-05-05 |
| 1952479503 | Emergency Physicians Inc PC | General Practice | 324 Forest Hill Ave Se, Grand Rapids, MI 49546-2316 | 2006-12-01 |
| 1124123476 | Lourens J Willekes | General Practice | 751 Lafeyette Nw, Grand Rapids, MI 49503 | 2006-09-13 |
| 1568401032 | Sheila Marie Vanlowe-prince | General Practice | 847 Parchment Dr Se Ste 120, Grand Rapids, MI 49546-2377 | 2006-06-06 |
| 1114920550 | Emergency Physicians Inc PC | General Practice | 300 68th St Se, Grand Rapids, MI 49548-6927 | 2005-05-31 |
| 1306235569 | Kelsey Sturgis | General Practice | 743 E Beltline Ave Ne, Grand Rapids, MI 49525-6045 | 2015-01-12 |
| 1619147493 | Joanne Marie Grzeszak Do PC | General Practice | 806 Alger St Se, Grand Rapids, MI 49507-3803 | 2008-03-07 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49503 |
Please comment or provide details below to improve the information on CHERRY STREET SERVICES INC.
| 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.