MR. DAVID ANDREW NICHOLAS JR. (NPI# 1114273653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114273653 |
| Entity Type | Individual |
| Full Name | MR. DAVID ANDREW NICHOLAS JR. |
| Credential | MA, LLPC |
| Practice Address |
1910 Shaffer Street Kalamazoo MI 49048 |
| Mailing Address |
1116 Jackson Street Kalamazoo MI 49001 |
| Practice Telephone | 2692161877 |
| Mailing Telephone | 2692161877 |
| Enumeration Date | 2012-08-02 |
| Last Update Date | 2012-08-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
6401012436 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003154956 | David D Nicholas | Preventive Medicine | 7200 Wisconsin Ave, Suite 600, Bethesda, MD 20814-4811 | 2013-01-28 |
| 1881921468 | David Nicholas | Day Training/Habilitation Specialist | 700 Chief Eddie Hoffman Highway, Bethel, AK 99559 | 2009-11-03 |
| 1457591141 | David Matthew Nicholas | Clinical Nurse Specialist | 911 W Texas Ave, Midland, TX 79701-6167 | 2009-02-20 |
| 1124292974 | David Kenneth Nicholas | Social Worker | 3760 Cleary Dr, Howell, MI 48843-8542 | 2008-04-14 |
| 1609073519 | David Michael Nicholas | Dentist | 106 Division St, Suite 1, Cobleskill, NY 12043-4605 | 2007-07-03 |
| 1376520643 | David Nicholas | Emergency Medicine | 1340 Hal Greer Blvd, Huntington, WV 25701-3800 | 2005-12-28 |
| Street Address |
1910 SHAFFER STREET |
| City | KALAMAZOO |
| State | MI |
| Zip Code | 49048 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114040995 | Community Healing Center | Clinic/Center | 1910 Shaffer Street, Kalamazoo, MI 49048-1604 | 2007-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790214146 | Sally Leigh Weigandt | Technician, Other | 5438 Lucerne Ave, Kalamazoo, MI 49048 | 2017-06-08 |
| 1437606670 | Amanda Ezekiel | Advanced Practice Midwife | 1523 Gull Rd Ste 250, Kalamazoo, MI 49048 | 2016-09-06 |
| 1700238987 | Brittany Bittenbender | Technician, Other | 5840 E Cork St, Kalamazoo, MI 49048 | 2016-07-12 |
| 1255747176 | Araena Payton | Early Intervention Provider Agency | 1313 Hotop Ave, Kalamazoo, MI 49048 | 2014-07-11 |
| 1508297151 | Hope Network Eastwood House | Residential Treatment Facility, Physical Disabilities | 2236 Brook Drive, Kalamazoo, MI 49048 | 2013-12-09 |
| 1457780314 | Hope Network Rehabilitation Servicesq | Residential Treatment Facility, Physical Disabilities | 2236 Brooke Drive, Kalamazoo, MI 49048 | 2013-11-01 |
| 1467889576 | Aaron Van Heest | Social Worker | 813 Chrysler St., Kalamazoo, MI 49048 | 2013-10-03 |
| 1760737308 | Salem A. Salem | Internal Medicine | Ascension Borgess Hospital, 1521 Gull Rd, Kalamazoo, MI 49048 | 2012-07-19 |
| 1356523229 | Borgess Medical Center | Psychiatry & Neurology | 1521 Gull Road, Kalamazoo, MI 49048 | 2007-12-03 |
| 1629290135 | Robert Claude Gano | Dentist | 5462 Gull Rd Suite 7, Kalamazoo, MI 49048 | 2007-05-03 |
| Find all providers in zip 49048 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316451560 | Anta Lutz Ling | Counselor | 1128 S Westnedge Ave, Kalamazoo, MI 49008-1350 | 2017-11-27 |
| 1407374580 | Joel Damian Burnett | Counselor | 401 Howard St., Kalamazoo, MI 49001 | 2017-09-08 |
| 1538686449 | Amber Dawn Beauchamp | Counselor | 401 S. Howard St., Kalamazoo, MI 49001 | 2017-08-23 |
| 1265987531 | Carolyn Gabriel | Counselor | 537 Chicago Ave, Kalamazoo, MI 49048-2021 | 2016-08-16 |
| 1386004489 | Brenda Kay Henry | Counselor | 1016 N Pitcher St, Kalamazoo, MI 49007-3548 | 2016-03-02 |
| 1508101635 | Gerald Lamont Brooks | Counselor | 4017 W. Main Suite 100, Kalamazoo, MI 49006 | 2012-11-29 |
| 1053677997 | Addie B Carter | Counselor | 5617 Blue Meadow Cir, Kalamazoo, MI 49048-8225 | 2012-04-04 |
| 1174899421 | Ashley Carter Youngblood | Counselor | 4155 S 9th St, Kalamazoo, MI 49009-8120 | 2012-03-30 |
| 1063646875 | Kevin Dale Baker | Counselor | 2226 Homecrest Ave, Kalamazoo, MI 49001 | 2009-05-07 |
| 1588877146 | Suzanne Christine Meinke | Counselor | 6963 W Kl Ave Ste A, Kalamazoo, MI 49009-8043 | 2007-05-08 |
| Find all providers in KALAMAZOO | ||||
Please comment or provide details below to improve the information on MR. DAVID ANDREW NICHOLAS JR..
| 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.