DR. THEODORE FITCH MAUGER (NPI# 1801966122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801966122 |
| Entity Type | Individual |
| Full Name | DR. THEODORE FITCH MAUGER |
| Credential | MD |
| Practice Address |
1325 Thornapple River Dr Se Grand Rapids MI 49546-9736 |
| Practice Telephone | 6166760208 |
| Mailing Telephone | 6166760208 |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
4301039223 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
1325 THORNAPPLE RIVER DR SE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49546-9736 |
| 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 | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629507801 | Laura Marie Quennoz | Psychiatry & Neurology | Pine Rest Christian Mental Health Services, 300 68th Street Se, Grand Rapids, MI 49548 | 2017-06-09 |
| 1124462437 | Veritas Integrated Psychiatric Care, Pllc | Psychiatry & Neurology | 3265 Walker Ave Nw, Suite D, Grand Rapids, MI 49544-9708 | 2013-04-18 |
| 1982835526 | Mon C Poulose | Psychiatry & Neurology | 3225 N Evergreen Drive Ne, Suite 301, Grand Rapids, MI 49525 | 2009-07-30 |
| 1972652972 | Radosveta Stoyanov | Psychiatry & Neurology | 3225 N Evergreen Dr Ne, Grand Rapids, MI 49525-9334 | 2007-01-09 |
| 1679633994 | Philip C. Haines | Psychiatry & Neurology | 1011 Parchment Dr Se, Grand Rapids, MI 49546-3664 | 2006-12-08 |
| 1669546537 | Holly Ann Perkins | Psychiatry & Neurology | 2894 Thornapple River Dr Se, Grand Rapids, MI 49546-6857 | 2006-11-20 |
| 1154407807 | Josharon Mutchler | Psychiatry & Neurology | 2035 28th St Se, Suite P, Grand Rapids, MI 49508 | 2006-10-27 |
| 1760581524 | Elmer William Fowler Jr. | Psychiatry & Neurology | 3351 Claystone St Se, Suite 212, Grand Rapids, MI 49546-5781 | 2006-09-21 |
| 1578676797 | Haith Place Inc | Psychiatry & Neurology | 2460 Burton St Se Ste 101, Grand Rapids, MI 49546-4806 | 2006-08-15 |
| 1699790220 | Reid Sampson Taylor Sr. | Psychiatry & Neurology | 75 Sheldon Ave Se Fl 2, Grand Rapids, MI 49503-4224 | 2006-07-13 |
| 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.