HERON RIDGE ASSOCIATES, PLC (NPI# 1013187541) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013187541 |
| Entity Type | Organization |
| Organization Name | HERON RIDGE ASSOCIATES, PLC |
| Practice Address |
31000 Telegraph Rd Suite 120 Bingham Farms MI 48025-4360 |
| Mailing Address |
3694 Clarkston Rd Suite D Clarkston MI 48348-5213 |
| Practice Telephone | 2485944991 |
| Practice Fax Number | 2483917478 |
| Mailing Telephone | 2486938880 |
| Mailing Fax Number | 2483917478 |
| Enumeration Date | 2008-03-12 |
| Last Update Date | 2018-12-10 |
| Authorized Official Name | LESLIE JOHNSEN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2482448644 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
631056 | MI | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUE CROSS BLUE SHIELD | 750910409 | 01 |
| MI | VALUE OPTIONS | 463240 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740450279 | Heron Ridge Associates, Plc | Clinic/Center | 1785 W Stadium Blvd Ste 205, Ann Arbor, MI 48103-5285 | 2008-03-12 |
| 1750684700 | Heron Ridge Associates, Plc | Social Worker | 705 S Main St Ste 280, Plymouth, MI 48170-1060 | 2010-12-14 |
| Street Address |
31000 TELEGRAPH RD SUITE 120 |
| City | BINGHAM FARMS |
| State | MI |
| Zip Code | 48025-4360 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912906397 | John M Schmitz | Optometrist | 31000 Telegraph Rd, Suite 140, Bingham Farms, MI 48025-4360 | 2005-07-19 |
| 1154868545 | Craig Singer Md Dermatology | Pediatrics | 31000 Telegraph Rd, Ste 260, Bingham Farms, MI 48025-4360 | 2017-01-24 |
| 1083060313 | Raphael Don Levin | Social Worker | 31000 Telegraph Rd, Suite 120, Bingham Farms, MI 48025-4360 | 2016-05-05 |
| 1104235225 | Bingham Farms Family Dentistry | Dentist | 31000 Telegraph Rd, Suite 160, Bingham Farms, MI 48025-4360 | 2014-08-04 |
| 1740615210 | Rebecca Horn | Psychologist | 31000 Telegraph Rd, Suite 150, Bingham Farms, MI 48025-4360 | 2013-09-03 |
| 1164773867 | Pamela Adele Kanehann | Social Worker | 31000 Telegraph Rd, Suite 130, Bingham Farms, MI 48025-4360 | 2012-09-21 |
| 1205113776 | Rhonna Nelson, Msw, P.C. | Social Worker | 31000 Telegraph Rd, Suite 150, Bingham Farms, MI 48025-4360 | 2011-11-10 |
| 1285920462 | My Second Home Pediatrics Pllc | Pediatrics | 31000 Telegraph Rd, Sutie 100, Bingham Farms, MI 48025-4360 | 2011-06-25 |
| 1013196526 | Susan Rosen | Marriage & Family Therapist | 31000 Telegraph Rd, Bingham Farms, MI 48025-4360 | 2007-10-31 |
| 1932390317 | Andrey Lutskovsky | Internal Medicine | 31000 Telegraph Rd, Ste. 140, Bingham Farms, MI 48025-4360 | 2007-08-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518571413 | Cole Nicolas Gomez | Technician/Technologist | 32199 Telegraph Rd, Bingham Farms, MI 48025 | 2020-09-08 |
| 1346859212 | Jordyn Jones | Technician/Technologist | 32199 Telegraph Rd Ste 205, Bingham Farms, MI 48025 | 2020-07-27 |
| 1013492644 | Shaniya Hyman | Technician/Technologist | 32100 Telegraph Rd Suit 205, Bingham Farms, MI 48025 | 2018-09-28 |
| 1043799042 | Assisted Home Health | Hospice Care, Community Based | 20150 Plantation Ln, Beverly Hills, MI 48025 | 2018-08-09 |
| 1235618224 | Robert Dean Harley | Technician/Technologist | 31200 Telegraph Rd Ste 205, Bingham Farms, MI 48025 | 2018-08-09 |
| 1760973911 | Tailormed Medical Inc | Case Management | 30100 Telegraph Road, Suite 403, Bringham Farms, MI 48025 | 2018-05-23 |
| 1245745447 | Supportive Home Health Care LLC | Home Health | 30100 Telegraph Rd Ste 478, Bingham Farms, MI 48025 | 2017-12-11 |
| 1265954192 | Breeona Rue | Technician/Technologist | 32100 Telegraph Rd Suite 205, Bingham Farms, MI 48025 | 2017-07-12 |
| 1417478132 | Gina Maria Bignotti | Behavior Technician | 32100 Telegraph, Bingham Farms, MI 48025 | 2017-07-03 |
| 1295256238 | Chanel Matti | Behavior Technician | 32100 Telegraph Rd Suite 185, Bingham Farms, MI 48025 | 2017-06-29 |
| Find all providers in zip 48025 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528588050 | Schwartz Therapy & Wellness, P.C. | Clinic/Center | 30800 Telegraph Rd Ste 1775, Bingham Farms, MI 48025-4593 | 2017-06-26 |
| 1447421672 | Lewis & Mikkola Comprehensive Psychological Services Pllc | Clinic/Center | 30200 Telegraph Rd, Suite #402, Bingham Farms, MI 48025-4502 | 2008-03-15 |
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| 1700492154 | Bound Together Counseling, Pllc | Clinic/Center | 3020 Franklin Park Dr, Sterling Heights, MI 48310-2477 | 2020-09-21 |
| 1982219556 | Best Life Counseling Services, LLC | Clinic/Center | O-745 Lake Michigan Dr Nw, Grand Rapids, MI 49534-6795 | 2020-09-10 |
| 1780297879 | Grisham Services Inc. | Clinic/Center | 710 Chippewa Sq Ste 206, Marquette, MI 49855-4823 | 2020-08-28 |
| 1518579655 | Self Preservation Through Recovery Independence Transformation Guidanc | Clinic/Center | 21225 Kelly Rd Ste 5, Eastpointe, MI 48021-3100 | 2020-08-19 |
| 1639789688 | Itherapygenx, Pllc | Clinic/Center | 31701 Grandview Ave, Westland, MI 48186-8958 | 2020-08-05 |
| 1619595832 | Peace of Mind, LLC | Clinic/Center | 41750 Foster Dr Unit 204, Novi, MI 48375-1976 | 2020-07-14 |
| Find all providers with the same taxonomy | ||||
| City | BINGHAM FARMS |
| Zip Code | 48025 |
Please comment or provide details below to improve the information on HERON RIDGE ASSOCIATES, PLC.
| 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.