JOHN PELLETIER (NPI# 1811380348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811380348 |
| Entity Type | Individual |
| Full Name | JOHN PELLETIER |
| Credential | AA, CPSS, CADC |
| Practice Address |
610 S Burdick St Kalamazoo MI 49007-5221 |
| Practice Telephone | 2693813700 |
| Practice Fax Number | 2693813810 |
| Mailing Telephone | 2693813700 |
| Mailing Fax Number | 2693813810 |
| Enumeration Date | 2015-03-09 |
| Last Update Date | 2015-03-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215106588 | John R Pelletier | Psychologist | 83 Adamsville Rd, Westport, MA 02790-5001 | 2008-02-21 |
| 1053397760 | John A Pelletier | Neuromusculoskeletal Medicine & OMM | 295 Forest Ave, 2nd Floor, Portland, ME 04101-2018 | 2005-12-15 |
| Street Address |
610 S BURDICK ST |
| City | KALAMAZOO |
| State | MI |
| Zip Code | 49007-5221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689625238 | Randall P Estes | Social Worker | 610 S Burdick St, Kalamazoo, MI 49007-5221 | 2006-05-16 |
| 1588271860 | Liza May | Specialist | 610 S Burdick St, Kalamazoo, MI 49007-5221 | 2020-09-30 |
| 1528675840 | Amy Boileau | Counselor | 610 S Burdick St, Kalamazoo, MI 49007-5221 | 2020-09-30 |
| 1366059024 | Sheree Niblack | Specialist | 610 S Burdick St, Kalamazoo, MI 49007-5221 | 2020-09-28 |
| 1245845759 | Kaylee J Davis | Counselor | 610 S Burdick St, Kalamazoo, MI 49007-5221 | 2020-09-11 |
| 1568077253 | Nicole Jean Brown | Social Worker | 610 S Burdick St, Kalamazoo, MI 49007-5221 | 2020-09-10 |
| 1922613769 | Kylie Klomparens | Student in an Organized Health Care Education/Training Program | 610 S Burdick St, Kalamazoo, MI 49007-5221 | 2020-09-09 |
| 1871108621 | Ellyn Petrino | Student in an Organized Health Care Education/Training Program | 610 S Burdick St, Kalamazoo, MI 49007-5221 | 2020-09-09 |
| 1548874373 | Carly Dietrich | Social Worker | 610 S Burdick St, Kalamazoo, MI 49007-5221 | 2020-08-31 |
| 1184237190 | Paige Materi | Social Worker | 610 S Burdick St, Kalamazoo, MI 49007-5221 | 2020-08-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881248342 | Whitney Kiel | Pharmacist | 601 John Street Suite M-020, Kalamazoo, MI 49007 | 2019-08-01 |
| 1316591571 | Laura Jedele | Physical Therapist | Bronson Healthcare Group, 601 John St, Kalamazoo, MI 49007 | 2019-07-26 |
| 1992209084 | Yvonne Marie Heltzel | Behavior Technician | 1826 N Rose St, Kalamazoo, MI 49007 | 2018-03-22 |
| 1396263943 | Travis Todd Turrell | Physician Assistant | 125 S Kalamazoo Mall Suite 204, Kalamazoo, MI 49007 | 2017-09-05 |
| 1619493186 | Sarah Zuspann | Nurse Practitioner | 601 John Street, Suite 100, Kalamazoo, MI 49007 | 2017-08-16 |
| 1720529779 | Dannison | Psychologist | 604 S Rose St, Kalamazoo, MI 49007 | 2017-03-10 |
| 1265988901 | Calee Dieleman | Social Worker | 610 South Burdick, Kalamazoo, MI 49007 | 2016-09-01 |
| 1508313099 | Arriel Julia Ampey | Social Worker | 414 S. Burdick St., Suite 200, Kalamazoo, MI 49007 | 2016-09-01 |
| 1043662745 | Holloway Marston | Psychologist | 717 W South St, Apt. #6, Kalamazoo, MI 49007 | 2016-07-06 |
| 1205280062 | Bronson At Home | Home Health | 601 John St Ste M-431, Kalamazoo, MI 49007 | 2016-04-19 |
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| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205449899 | John Dueber | Peer Specialist | 610 S Burdick St, Kalamazoo, MI 49007-5221 | 2020-08-25 |
| 1639684608 | Michelle L Morgan | Peer Specialist | 2615 Stadium Dr, Kalamazoo, MI 49008-1654 | 2017-12-12 |
| 1003326125 | Kyle Wayne Sofia | Peer Specialist | 1910 Shaffer St, Kalamazoo, MI 49048-1604 | 2017-10-03 |
| 1215473863 | Vincent Miller | Peer Specialist | 1910 Shaffer St, Kalamazoo, MI 49048-1604 | 2017-01-06 |
| 1184174930 | Corey Dean | Peer Specialist | 610 S Burdick St, Kalamazoo, MI 49007-5221 | 2016-10-05 |
| 1336695048 | Patrick Kaufmann | Peer Specialist | 610 S Burdick St, Kalamazoo, MI 49007-5221 | 2016-09-01 |
| 1700250446 | Junelle Hicks | Peer Specialist | 610 S Burdick St, Kalamazoo, MI 49007-5221 | 2015-11-18 |
| 1396116976 | Kimberly Armstrong-howell | Peer Specialist | 610 S Burdick St, Kalamazoo, MI 49007-5221 | 2015-10-08 |
| 1295129658 | Patrick Forseman | Peer Specialist | 610 S Burdick St, Kalamazoo, MI 49007-5221 | 2015-03-24 |
| 1619361409 | Cynthia Plum | Peer Specialist | 610 S Burdick St, Kalamazoo, MI 49007-5221 | 2015-03-19 |
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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.