CARSON CITY HOSPITAL (NPI# 1023137965) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023137965 |
| Entity Type | Organization |
| Organization Name | CARSON CITY HOSPITAL |
| Other Organization Name | MSG BCBS PSYCHOLOGIST GROUP |
| Practice Address |
406 E Elm St Carson City MI 48811-9693 |
| Mailing Address |
406 E Elm St Po Box 730 Carson City MI 48811-9693 |
| Practice Telephone | 9895843971 |
| Practice Fax Number | 9895846734 |
| Mailing Telephone | 9895843971 |
| Mailing Fax Number | 9895846734 |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. NATALIE BUSLEPP (MSG DIRECTOR) |
| Authorized Official Telephone | 9895843971 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| MSG BCBS Psychologist Group | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093719783 | Carson City Hospital | Pharmacy | 245 S 2nd St, Carson City, MI 48811-9650 | 2005-06-09 |
| 1528316932 | Carson City Hospital | Obstetrics & Gynecology | 639 E Main St, Carson City, MI 48811-9795 | 2012-08-16 |
| 1043428931 | Carson City Hospital | Clinic/Center | 406 E Elm St, Carson City, MI 48811-9693 | 2007-05-21 |
| 1790804912 | Carson City Hospital | Nurse Practitioner | 406 E Elm St, Carson City, MI 48811-9693 | 2007-03-28 |
| 1659490803 | Carson City Hospital | Psychiatry & Neurology | 406 E Elm St, Carson City, MI 48811-9693 | 2007-03-28 |
| 1952420119 | Carson City Hospital | Social Worker | 406 E Elm St, Carson City, MI 48811-9693 | 2007-03-28 |
| 1154440394 | Carson City Hospital | Family Medicine | 406 E Elm St, Carson City, MI 48811-9693 | 2007-03-28 |
| 1356460513 | Carson City Hospital | General Acute Care Hospital | 406 E Elm St, Carson City, MI 48811-9693 | 2007-03-28 |
| 1982737391 | Carson City Hospital | Pediatrics | 550 E Washington St, Suite 103, Ionia, MI 48846-2202 | 2007-03-14 |
| 1831295708 | Carson City Hospital | General Acute Care Hospital | 406 E Elm St, Carson City, MI 48811-9693 | 2006-09-16 |
| Street Address |
406 E ELM ST |
| City | CARSON CITY |
| State | MI |
| Zip Code | 48811-9693 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063495877 | James D Spencer | Obstetrics & Gynecology | 406 E Elm St, Carson City, MI 48811-9693 | 2005-11-25 |
| 1629578422 | Monte Shearer II | Physical Therapist | 406 E Elm St, Carson City, MI 48811-9693 | 2018-02-19 |
| 1013434174 | Monte Joseph Malek | Nurse Practitioner | 406 E Elm St, Carson City, MI 48811-9693 | 2017-08-29 |
| 1063872919 | Luke Anthony Rohlfs | Registered Nurse | 406 E Elm St, Carson City, MI 48811-9693 | 2016-03-03 |
| 1912209248 | Sati Sonali Harris Nichols | Clinical Nurse Specialist | 406 E Elm St, Carson City, MI 48811-9693 | 2010-11-18 |
| 1497085849 | Sarah A Bergakker | Nurse Anesthetist, Certified Registered | 406 E Elm St, Carson City, MI 48811-9693 | 2010-01-07 |
| 1508009267 | John Wellman | Pharmacist | 406 E Elm St, Carson City, MI 48811-9693 | 2009-04-10 |
| 1881844991 | Kelli M Steffen | Dietitian, Registered | 406 E Elm St, Carson City, MI 48811-9693 | 2008-09-25 |
| 1538336391 | Kristi Ann Brethauer | Dietitian, Registered | 406 E Elm St, Carson City, MI 48811-9693 | 2008-05-12 |
| 1043428931 | Carson City Hospital | Clinic/Center | 406 E Elm St, Carson City, MI 48811-9693 | 2007-05-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700302528 | Amanda Elizabeth Bennett | Nurse Practitioner | 102 South Thrid Street, Suite 100, Carson City, MI 48811 | 2017-08-15 |
| 1073061180 | Kelsey Dennis | Specialist/Technologist | 6460 S Mount Hope Rd, Carson City, MI 48811 | 2016-09-18 |
| 1598018152 | Healthstat- Carson City Hospital | Preventive Medicine | 46 Elm St., Carson City, MI 48811 | 2012-10-19 |
| 1023283876 | Dean L Barker | Pharmacist | 10767 E. Carson City Road, Carson City, MI 48811 | 2008-04-23 |
| 1891984431 | Thomas O Morgan Do PC | Surgery | 102 S. Third Street, Suite 400, Carson City, MI 48811 | 2007-10-19 |
| 1609091180 | Matthew Eric Haglund | Chiropractor | 10708 E Carson City Road, Carson City, MI 48811 | 2007-04-17 |
| 1417171844 | The Laurels of Carson City, LLC | Skilled Nursing Facility | 620 N. Second Street, Carson City, MI 48811 | 2007-04-13 |
| 1184792053 | Sparrow Carson Hospital | Psychiatry & Neurology | 102 S. Third St., Suite 500, Carson City, MI 48811 | 2006-12-01 |
| 1730103003 | Carol Marie Carpenter | Social Worker | 102 South Third Street, Suite 500, Carson City, MI 48811 | 2006-07-27 |
| 1801815956 | John Gilbert Lundeen | Radiology | 406 Elm St, Carson City, MI 48811 | 2006-07-19 |
| Find all providers in zip 48811 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194053033 | John Sesney | Psychologist | 2056 Newman Pl, Carson City, NV 89703-3026 | 2009-12-04 |
| 1861618050 | Constance Jean Sheltren | Psychologist | 623 W Washington St Ste A, Carson City, NV 89703-3837 | 2007-04-17 |
| 1689627804 | Thomas Francis Sheehan Jr. | Psychologist | 600 E William St Ste 202, Carson City, NV 89701 | 2006-05-18 |
| 1225000979 | Carol J Aalbers | Psychologist | 205 S Minnesota St, Carson City, NV 89703-4269 | 2006-02-06 |
| 1235758624 | Donald Campbell | Psychologist | 1665 Old Hot Springs Rd Ste 150, Carson City, NV 89706-0668 | 2020-04-15 |
| 1790022952 | Rita Carlson | Psychologist | 205 S Minnesota St, Carson City, NV 89703-4269 | 2013-01-08 |
| 1801160064 | Dorsey D Diaz | Psychologist | 502 E John St, Suite B, Carson City, NV 89706-3099 | 2012-03-05 |
| 1508825415 | Delia J Thrasher | Psychologist | 102 S. Third St, Suite 500, Carson City, MI 48811 | 2006-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922609072 | George Edward Khamis | Psychologist | 25600 Woodward Avenue, Suite 215, Royal Oak, MI 48067 | 2020-11-05 |
| 1932700036 | Estela M Rivero | Psychologist | 2627 Oak Valley Dr Apt 205, Ann Arbor, MI 48103-7705 | 2020-11-04 |
| 1144829037 | Damon Moore | Psychologist | 15450 E Jefferson Ave Ste 180, Grosse Pointe Park, MI 48230-2031 | 2020-10-21 |
| 1073112355 | Sarah Nicole Kesler | Psychologist | 230 Collingwood St Ste 250, Ann Arbor, MI 48103-3845 | 2020-10-19 |
| 1518564947 | Margaret L Blevins | Psychologist | 21769 Meridian Rd, Grosse Ile, MI 48138-1453 | 2020-10-08 |
| 1770197717 | Susan J Goldberg | Psychologist | 442 Randolph St, Northville, MI 48167-1465 | 2020-09-08 |
| 1255944096 | Eric S. Samson | Psychologist | 2045 E West Maple Rd Ste D405, Commerce Township, MI 48390-3801 | 2020-08-30 |
| 1891308904 | Susan Gottlieb Phd LLC | Psychologist | 23800 Orchard Lake Rd Ste 104, Farmington Hills, MI 48336-2561 | 2020-08-28 |
| 1538784012 | Bethany S Gourley | Psychologist | 19855 Outer Dr Ste 300, Dearborn, MI 48124-2022 | 2020-06-10 |
| 1316560303 | Amy K Pruneau LLC | Psychologist | 26755 Middlebelt Rd Ste 140, Farmington Hills, MI 48334 | 2020-05-25 |
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| City | CARSON CITY |
| Zip Code | 48811 |
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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.