MIRANDA MARIE GONZALEZ (NPI# 1912511866) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912511866 |
| Entity Type | Individual |
| Full Name | MIRANDA MARIE GONZALEZ |
| Practice Address |
12930 James St Ste 140 Holland MI 49424-8324 |
| Mailing Address |
5914 Dalson Rd Twin Lake MI 49457-9303 |
| Practice Telephone | 6163221954 |
| Enumeration Date | 2020-09-08 |
| Last Update Date | 2020-09-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
6362009100 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255889069 | Miranda Gonzalez | Social Worker | 45 Orkney Rd, Brighton, MA 02135-7727 | 2016-09-21 |
| 1386108231 | Miranda Gonzalez | Behavior Technician | 931 Buena Vista St Ste 200, Duarte, CA 91010-1713 | 2019-01-24 |
| 1801361779 | Miranda D Gonzalez | Counselor | 5284 Adolfo Rd Ste 100, Camarillo, CA 93012-6790 | 2018-10-08 |
| 1376919167 | Miranda Leigh Gonzalez | Nurse Practitioner | 201 N University St, Campus Box 2540, Normal, IL 61790-2540 | 2015-08-14 |
| Street Address |
12930 JAMES ST STE 140 |
| City | HOLLAND |
| State | MI |
| Zip Code | 49424-8324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306373840 | Kristen Faber | Social Worker | 12930 James St Ste 140, Holland, MI 49424-8324 | 2017-05-15 |
| 1023621935 | Joshua Campbell | Psychologist | 12930 James St Ste 140, Holland, MI 49424-8324 | 2020-08-29 |
| 1962013052 | Ryan Kuja | Counselor | 12930 James St Ste 140, Holland, MI 49424-8324 | 2020-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194290999 | Anderson Family and Cosmetic Dentistry | Dentist | 453 136th Ave., Holland, MI 49424 | 2018-10-08 |
| 1487139663 | Maria C. Hoekstra Dds, P.C. | Dentist | 1121 Ottawa Beach Road, Suite 100, Holland, MI 49424 | 2018-10-03 |
| 1871024000 | Derek Schaaf | Rehabilitation Practitioner | 13835 Foxtrail Dr., Holland, MI 49424 | 2017-03-21 |
| 1699227397 | Tabitha Margritz | Optometrist | 2279 N Park Drive #910, Holland, MI 49424 | 2016-10-28 |
| 1619373701 | Miller Chiropractic LLC | Chiropractor | 84 East Lakewood Boulevard, Holland, MI 49424 | 2014-11-17 |
| 1891107611 | Nathan B. Poel | Dentist | 1180 Ottawa Beach Rd, Suite E, Holland, MI 49424 | 2014-05-28 |
| 1477990802 | Jeanine Hamilton | Speech-Language Pathologist | 1576 Eb Creek Dr., Holland, MI 49424 | 2013-05-24 |
| 1194062638 | Stefan John Kuipers | Physician Assistant | 3100 Wellness Dr, Holland, MI 49424 | 2013-01-03 |
| 1902155690 | Benjamin Eovaldi | General Practice | 376 Mayfair St., Holland, MI 49424 | 2012-09-10 |
| 1295017929 | Employee Assistance Center Garden | Psychologist | 372 Garden, Holland, MI 49424 | 2011-09-20 |
| Find all providers in zip 49424 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245852995 | Tiffany Armitage | Psychologist | 12265 James St Bldg A, Holland, MI 49424-8613 | 2020-05-15 |
| 1841726809 | Hope & Wholeness Psychology Center, LLC | Psychologist | 340 104th Ave, Holland, MI 49423-9149 | 2017-05-11 |
| 1720221179 | New Direction Counseling Center | Psychologist | 446 W 40th St, Holland, MI 49423-4644 | 2009-04-15 |
| 1154511772 | John L. Gibson | Psychologist | 12930 James St Ste 130, Holland, MI 49424-8324 | 2007-07-30 |
| 1528273968 | Daniel Girard Rooks | Psychologist | 3124 N Wellness Dr Ste 30, Suite 30, Holland, MI 49424-8121 | 2007-05-11 |
| 1992839591 | Developmental Enhancement | Psychologist | 854 Washington Ave Ste 600, Holland, MI 49423-7141 | 2007-03-15 |
| 1265586648 | Patricia V Roehling | Psychologist | 12978 James St Ste 10, Holland, MI 49423 | 2007-01-22 |
| 1962043315 | D Epler Psychological Services LLC | Psychologist | 82 Buck Rd Ste 3, Holland, PA 18966-1751 | 2019-10-07 |
| 1699323295 | Katherine Tennant | Psychologist | 854 Washington Ave Ste 600, Holland, MI 49423-7141 | 2019-08-28 |
| 1447517214 | Kylene Krause | Psychologist | 854 Washington Ave Ste 330, Holland, MI 49423-7141 | 2012-04-18 |
| Find all providers in HOLLAND | ||||
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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.