DR. LINDA D THEIS (NPI# 1124447859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1124447859 |
Entity Type | Individual |
Full Name | DR. LINDA D THEIS |
Credential | L.L. P |
Practice Address |
6035 Gonyer Rd Sw Fife Lake MI 49633-8214 |
Practice Telephone | 2317159381 |
Mailing Telephone | 2317159381 |
Enumeration Date | 2014-04-09 |
Last Update Date | 2014-04-09 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
6301015848 | MI | Behavioral Health & Social Service Providers |
Street Address |
6035 GONYER RD SW |
City | FIFE LAKE |
State | MI |
Zip Code | 49633-8214 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326267006 | Fife Lake Area Ambulance Authority | Ambulance | 134 Morgan St, Fife Lake, MI 49633 | 2007-04-24 |
1639277791 | Forest Area Medical Centers PC | Physician Assistant | 113 Main Street, Fife Lake, MI 49633 | 2006-09-20 |
1083727473 | Richard Arden Knecht | Family Medicine | 125 Morgan Street, Fife Lake, MI 49633 | 2006-08-17 |
1316988272 | Berry Drugs Inc | Pharmacy | 108 State St, Fife Lake, MI 49633 | 2006-06-09 |
1326199126 | Forest Area Health Center, PC | Clinic/Center | 113 N. Main Street, Box 221, Fife Lake, MI 49633-0221 | 2007-01-16 |
1326648940 | Danielle Johne | Student in an Organized Health Care Education/Training Program | 1623 W Sharon Rd Sw, Fife Lake, MI 49633-7214 | 2020-11-01 |
1750567871 | Thomas Joe Akalis | Psychologist | 8264 Military Rd Se, Fife Lake, MI 49633-8251 | 2008-01-18 |
1255503249 | Forest Area Health Center PC | Clinic/Center | 113 Main St, Fife Lake, MI 49633-9062 | 2008-03-31 |
1174815385 | Fife Lake Area Emergency Rescue Authority | Ambulance | 134 Morgan St, Fife Lake, MI 49633-9068 | 2011-05-05 |
1457899346 | Hannah Fisher | Behavior Technician | 12095 Mueller Rd Sw, Fife Lake, MI 49633-9087 | 2017-02-10 |
Find all providers in zip 49633 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750567871 | Thomas Joe Akalis | Psychologist | 8264 Military Rd Se, Fife Lake, MI 49633-8251 | 2008-01-18 |
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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 |
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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.