DR. MON C POULOSE


Address: 3225 N Evergreen Drive Ne, Suite 301, Grand Rapids, MI 49525
Phone: 7163487834

DR. MON C POULOSE (NPI# 1982835526) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1982835526
Entity Type Individual
Full Name DR. MON C POULOSE
Credential MD
Practice Address 3225 N Evergreen Drive Ne
Suite 301
Grand Rapids
MI 49525
Practice Telephone 7163487834
Practice Fax Number 6163646400
Mailing Telephone 7163487834
Mailing Fax Number 6163646400
Enumeration Date 2009-07-30
Last Update Date 2014-01-29
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084P0800X Psychiatry & Neurology
Specialization: Psychiatry
4301099983 MI Allopathic & Osteopathic Physicians
N 283Q00000X Psychiatric Hospital MI Hospitals

Office Location

Street Address 3225 N EVERGREEN DRIVE NE
SUITE 301
City GRAND RAPIDS
State MI
Zip Code 49525

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Taxonomy Information

Taxonomy Code 2084P0800X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Psychiatry

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
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
1801966122 Theodore Fitch Mauger Psychiatry & Neurology 1325 Thornapple River Dr Se, Grand Rapids, MI 49546-9736 2006-11-08
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
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City GRAND RAPIDS
Zip Code 49525

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Dataset Information

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.

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