CHARLES CHRISTOPHER ELDREDGE (NPI# 1104917590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104917590 |
| Entity Type | Individual |
| Full Name | CHARLES CHRISTOPHER ELDREDGE |
| Credential | LLP |
| Practice Address |
920 Diana St Ludington MI 49431-1987 |
| Practice Telephone | 2318456294 |
| Practice Fax Number | 2318457095 |
| Mailing Telephone | 2318456294 |
| Mailing Fax Number | 2318457095 |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
6301009210 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215989322 | Charles J Eldredge | Internal Medicine | 555 French Rd, Suite 103, New Hartford, NY 13413-1044 | 2006-05-17 |
| Street Address |
920 DIANA ST |
| City | LUDINGTON |
| State | MI |
| Zip Code | 49431-1987 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275646309 | West Michigan Community Mental Health System | Counselor | 920 Diana St, Ludington, MI 49431-1987 | 2006-08-15 |
| 1174121255 | Ana Mccallum | Counselor | 920 Diana St, Ludington, MI 49431-1987 | 2020-10-12 |
| 1366074072 | Haleigh Mcnally | Social Worker | 920 Diana St, Ludington, MI 49431-1987 | 2020-02-11 |
| 1659903375 | Alexa Schneider | Social Worker | 920 Diana St, Ludington, MI 49431-1987 | 2020-02-11 |
| 1922642214 | Amanda Vanduinen | Counselor | 920 Diana St, Ludington, MI 49431-1987 | 2019-10-30 |
| 1346892379 | Lori Mae Stakenas-schneider | Social Worker | 920 Diana St, Ludington, MI 49431-1987 | 2019-07-10 |
| 1528623782 | Sara Hutchinson | Counselor | 920 Diana St, Ludington, MI 49431-1987 | 2019-05-03 |
| 1407317944 | Kylie Petzak | Registered Nurse | 920 Diana St, Ludington, MI 49431-1987 | 2019-03-27 |
| 1376017889 | West Michigan Community Mental Health System | Nurse Practitioner | 920 Diana St, Ludington, MI 49431-1987 | 2019-01-17 |
| 1912479544 | Mary Raymond | Counselor | 920 Diana St, Ludington, MI 49431-1987 | 2018-12-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972006690 | Marti Miller | Physical Therapist | 5916 Iris Rd., Ludington, MI 49431 | 2018-03-09 |
| 1700258670 | Leslie Hahn Ezdebski | Registered Nurse | 318 River St., Suite B, Manistee, MI 49431 | 2015-10-30 |
| 1477888618 | Kathleen M Tooman | Orthotic Fitter | 901 E Tinkham Avenue, Ludington, MI 49431 | 2009-10-06 |
| 1790831592 | Roger Edgren Ostling | Social Worker | 1027 N Rath, Ludington, MI 49431 | 2007-01-25 |
| 1487734364 | Kathryn Jean Niemeyer | Nurse Practitioner | 5 Atkinson Drive, Suite #207, Ludington, MI 49431 | 2006-10-16 |
| 1609986405 | Vivek Thakore | Clinic/Center | 5511 West Us 10 Hwy, Ludington, MI 49431 | 2006-08-30 |
| 1295747756 | Barbara Sleder | Nurse Practitioner | 1 North Atkinson Dr, Ludington, MI 49431 | 2006-08-13 |
| 1083653893 | William L Ingle Dc | Chiropractor | 321 N Jebavy Drive, Ludington, MI 49431 | 2006-06-06 |
| 1366429706 | Andrew S Riemer | Ophthalmology | 5959 Lawndale St, Ludington, MI 49431 | 2005-12-28 |
| 1699240085 | Toby Wessel, Lmsw, Pllc | Social Worker | 612 Sherman Oaks Dr, Ludington, MI 49431 | 2018-10-11 |
| Find all providers in zip 49431 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821144015 | Eric R. Harvey | Psychologist | 101 S James St, Suite 215, Ludington, MI 49431-2166 | 2007-01-28 |
| 1811219272 | Kelly Niergarth | Psychologist | 5816 W Us Highway 10, Suite C, Ludington, MI 49431-2450 | 2010-02-25 |
| 1922282359 | Northern Clinical and Diagnostic Associates, Pllc | Psychologist | 101 S James St, Suite 215, Ludington, MI 49431-2166 | 2007-12-20 |
| 1821129305 | Michelle M. Mcmellen | Psychologist | 101 S James St, Suite 215, Ludington, MI 49431-2166 | 2007-03-08 |
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| 1952900037 | Jamila Simone Steward | Psychologist | 31275 Northwestern Hwy Ste 216, Farmington Hills, MI 48334-2570 | 2020-10-20 |
| 1992303465 | Madison Bryant | Psychologist | 1231 S Cass Lake Rd, Waterford, MI 48328-4739 | 2020-10-15 |
| 1730787664 | Athal Yako | Psychologist | 18230 Teresa Dr, Macomb, MI 48044-1681 | 2020-10-13 |
| 1538767678 | Up Telehealth, LLC | Psychologist | 228 W Washington St Ste 7, Marquette, MI 49855-4330 | 2020-10-12 |
| 1881292076 | Meaningful Change: Clinical & Consultation Psychology, Pllc | Psychologist | 1861 Woodland Dr, Mount Pleasant, MI 48858-1298 | 2020-10-11 |
| 1902404122 | Dorrean Riley | Psychologist | 19189 Lexington, Redford, MI 48240-2618 | 2020-10-09 |
| 1174130850 | Timber Creek Counseling West LLC | Psychologist | 2976 Ivanrest Ave Sw Ste 215, Grandville, MI 49418-1440 | 2020-09-28 |
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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.