Samantha Fulkerson (NPI# 1760822696, PAC ID# 5991065724) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1760822696 |
| PAC ID by PECOS | 5991065724 |
| Professional Enrollment ID | I20180215002332 |
| Full Name | Samantha Fulkerson |
| Organization Legal Name | KALAMAZOO COUNTY COMMUNITY MENTAL HEALTH AUTHORITY |
| Address |
615 E Crosstown Pkwy Psychiatric Services Clinic Kalamazoo MI 49001-2501 |
| Phone Number | 2695537037 |
| Gender | F |
| Graduation Year | 2013 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 5890730337 |
| Number of Group Practice Members | 18 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 615 E Crosstown Pkwy, Psychiatric Services Clinic, Kalamazoo, MI 49001-2501 | 2695537037 | KALAMAZOO COUNTY COMMUNITY MENTAL HEALTH AUTHORITY |
| Organization Legal Name | KALAMAZOO COUNTY COMMUNITY MENTAL HEALTH AUTHORITY |
| Physicians | 22 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melinda Nichols | Clinical Social Worker | Kalamazoo County Community Mental Health Authority | 615 E Crosstown Pkwy, Psychiatric Services Clinic, Kalamazoo, MI 49001-2501 |
| Gopal K Bedi | Psychiatry | Kalamazoo County Community Mental Health Authority | 418 W Kalamazoo Ave, Kalamazoo, MI 49007-3334 |
| Mauli A Verma | Psychiatry | Kalamazoo County Community Mental Health Authority | 615 E Crosstown Pkwy, Psychiatric Services Clinic, Kalamazoo, MI 49001-2501 |
| Debra S Schauer | Clinical Social Worker | Kalamazoo County Community Mental Health Authority | 615 E Crosstown Pkwy, Psychiatric Services Clinic, Kalamazoo, MI 49001-2501 |
| Ondrej Chudoba | Psychiatry | Kalamazoo County Community Mental Health Authority | 615 E Crosstown Pkwy, Psychiatric Services Clinic, Kalamazoo, MI 49001-2501 |
| Nancy Mcdonald | Clinical Social Worker | Kalamazoo County Community Mental Health Authority | 418 W Kalamazoo Ave, Kalamazoo, MI 49007-3334 |
| Jacob Weintraub | Pediatric Medicine | Kalamazoo County Community Mental Health Authority | 615 E Crosstown Pkwy, Psychiatric Services Clinic, Kalamazoo, MI 49001-2501 |
| Leah R Keller | Clinical Social Worker | Kalamazoo County Community Mental Health Authority | 615 E Crosstown Pkwy, Psychiatric Services Clinic, Kalamazoo, MI 49001-2501 |
| Ryan P Davis | Clinical Social Worker | Kalamazoo County Community Mental Health Authority | 615 E Crosstown Pkwy, Psychiatric Services Clinic, Kalamazoo, MI 49001-2501 |
| Margot Lynne Chadwick | Nurse Practitioner | Kalamazoo County Community Mental Health Authority | 615 E Crosstown Pkwy, Psychiatric Services Clinic, Kalamazoo, MI 49001-2501 |
| Street Address |
615 E CROSSTOWN PKWY PSYCHIATRIC SERVICES CLINIC |
| City | KALAMAZOO |
| State | MI |
| Zip | 49001-2501 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melinda Nichols | Clinical Social Worker | Kalamazoo County Community Mental Health Authority | 615 E Crosstown Pkwy, Psychiatric Services Clinic, Kalamazoo, MI 49001-2501 |
| Mauli A Verma | Psychiatry | Kalamazoo County Community Mental Health Authority | 615 E Crosstown Pkwy, Psychiatric Services Clinic, Kalamazoo, MI 49001-2501 |
| Debra S Schauer | Clinical Social Worker | Kalamazoo County Community Mental Health Authority | 615 E Crosstown Pkwy, Psychiatric Services Clinic, Kalamazoo, MI 49001-2501 |
| Ondrej Chudoba | Psychiatry | Kalamazoo County Community Mental Health Authority | 615 E Crosstown Pkwy, Psychiatric Services Clinic, Kalamazoo, MI 49001-2501 |
| Jacob Weintraub | Pediatric Medicine | Kalamazoo County Community Mental Health Authority | 615 E Crosstown Pkwy, Psychiatric Services Clinic, Kalamazoo, MI 49001-2501 |
| Leah R Keller | Clinical Social Worker | Kalamazoo County Community Mental Health Authority | 615 E Crosstown Pkwy, Psychiatric Services Clinic, Kalamazoo, MI 49001-2501 |
| Ryan P Davis | Clinical Social Worker | Kalamazoo County Community Mental Health Authority | 615 E Crosstown Pkwy, Psychiatric Services Clinic, Kalamazoo, MI 49001-2501 |
| Margot Lynne Chadwick | Nurse Practitioner | Kalamazoo County Community Mental Health Authority | 615 E Crosstown Pkwy, Psychiatric Services Clinic, Kalamazoo, MI 49001-2501 |
| Jennifer M Richardson | Physician Assistant | Kalamazoo County Community Mental Health Authority | 615 E Crosstown Pkwy, Psychiatric Services Clinic, Kalamazoo, MI 49001-2501 |
| Corinne A Overmyer | Nurse Practitioner | Kalamazoo County Community Mental Health Authority | 615 E Crosstown Pkwy, Psychiatric Services Clinic, Kalamazoo, MI 49001-2501 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karen L Brown | Physician Assistant | Kalamazoo County Community Mental Health Authority | 615 E Crosstown Pkwy, Psychiatric Services Clinic, Kalamazoo, MI 49001-2501 |
| Rhoda Jones | Nurse Practitioner | Kalamazoo County Community Mental Health Authority | 615 E Crosstown Pkwy, Psychiatric Services Clinic, Kalamazoo, MI 49001-2501 |
| Laura Miller | Clinical Social Worker | Kalamazoo County Community Mental Health Authority | 615 E Crosstown Pkwy, Psychiatric Services Clinic, Kalamazoo, MI 49001-2501 |
| Michelle K Heffner | Clinical Social Worker | Kalamazoo County Community Mental Health Authority | 615 E Crosstown Pkwy, Psychiatric Services Clinic, Kalamazoo, MI 49001-2501 |
| Mary L Roesler | Audiologist | Hugo K. Roesler,m.d., P.C. | 1141 S Rose St A, Kalamazoo, MI 49001-2652 |
| Hugo K Roesler | Otolaryngology | Hugo K. Roesler,m.d., P.C. | 1141 S Rose St A, Kalamazoo, MI 49001-2652 |
| Tiffany N Newcastle | Chiropractic | Soldano Family Chiropractic Center Pllc | 1324 S Park St, Suite 3, Kalamazoo, MI 49001-2735 |
| Garrett Lee Soldano | Chiropractic | Soldano Family Chiropractic Center Pllc | 1324 S Park St, Suite 3, Kalamazoo, MI 49001-2735 |
| Courtney Bumgarner | Chiropractic | Soldano Family Chiropractic Center Pllc | 1324 S Park St, Suite 3, Kalamazoo, MI 49001-2735 |
| Trevor F Eisaman | Chiropractic | Soldano Family Chiropractic Center Pllc | 1324 S Park St, Suite 3, Kalamazoo, MI 49001-2735 |
| Find all physicians in zip 49001 | |||
| City | KALAMAZOO |
| Zip Code | 49001 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | KALAMAZOO + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Samantha Fulkerson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.