VAN BUREN COMMUNITY MENTAL HEALTH PHYSICIAN PROFESSIONAL GROUP


Address: 801 Hazen Street, Suite C, Paw Paw, MI 49079-0249
Phone: 2696575574

VAN BUREN COMMUNITY MENTAL HEALTH PHYSICIAN PROFESSIONAL GROUP (NPI# 1164744595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164744595
Entity Type Organization
Organization Name VAN BUREN COMMUNITY MENTAL HEALTH PHYSICIAN PROFESSIONAL GROUP
Practice Address 801 Hazen Street
Suite C
Paw Paw
MI 49079-0249
Mailing Address P.o. Box 249
801 Hazen Street Suite C
Paw Paw
MI 49079-0249
Practice Telephone 2696575574
Practice Fax Number 2696573474
Mailing Telephone 2696575574
Mailing Fax Number 2696573474
Enumeration Date 2010-02-26
Last Update Date 2010-02-26
Authorized Official Name MRS. DEBRA L.-R. HESS (CHIEF EXECUTIVE OFFICER)
Authorized Official Telephone 2696575574
Is Organization Subpart Y
Parent Organization Name VAN BUREN COMMUNITY MENTAL HEALTH AUTHORITY

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084P0015X Psychiatry & Neurology
Specialization: Psychosomatic Medicine
Allopathic & Osteopathic Physicians

Office Location

Street Address 801 HAZEN STREET
SUITE C
City PAW PAW
State MI
Zip Code 49079-0249

Providers in the same location

NPI Name Taxonomy Address Enumeration
1437119724 Ann Murphy Niemi Social Worker 801 Hazen Street, Ste C, Paw Paw, MI 49079-0249 2006-03-23
1649782418 Amber Bemis Occupational Therapy Assistant 801 Hazen Street, Suite C, Paw Paw, MI 49079 2017-11-01
1174821813 Michael Jon Versalle Registered Nurse 801 Hazen Street, Suite C., Paw Paw, MI 49079-0249 2011-03-04
1306078423 Britt Deanne Kirchinger Occupational Therapist 801 Hazen Street, Suite C, Paw Paw, MI 49079-0249 2009-08-24
1770738254 Anita M. Hennig Registered Nurse 801 Hazen Street, Suite C, Paw Paw, MI 49079-0249 2008-11-25
1699925883 Adriana Yellig Psychologist 801 Hazen Street, Suite C, Paw Paw, MI 49079-0249 2008-09-24
1275791295 David Edward Guimond Registered Nurse 801 Hazen Street, Suite C, Paw Paw, MI 49079-0249 2008-05-27
1235324112 Michael Clement Horein Psychologist 801 Hazen Street, Suite C, Paw Paw, MI 49079-0249 2007-09-13
1447445499 Deborah Lynn Ernstes Registered Nurse 801 Hazen Street, Suite C, Paw Paw, MI 49079-0249 2007-09-12
1811182868 Sandra Frances Wallace Licensed Practical Nurse 801 Hazen Street, Suite C, Paw Paw, MI 49079-0249 2007-09-12
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1700359387 Elizabeth Ann Heskett Social Worker Bronson Lakeview Family Care, 451 Health Parkway, Suite B, Paw Paw, MI 49079 2019-01-07
1346775269 Timothy Adli Kanaan Counselor 816 E Michigan Ave Ste 103, Paw Paw, MI 49079 2017-04-28
1558655464 Tamayi Bwititi Family Medicine 451 Health Pkwy Ste G, Paw Paw, MI 49079 2011-06-08
1942401047 Jenny Adina Grunberg Dentist 54055 County Rd 653, Paw Paw, MI 49079 2007-05-29
1912058918 David James Potts Psychologist 181 West Michigan Ave Suite 3, Mapleview Consultation Center P.c, Paw Paw, MI 49079 2007-01-16
1760438378 Starhealth Multi-specialty Group, P.C. Pharmacy Pharmacist 451 Health Parkway, Paw Paw, MI 49079 2006-05-25
1528029568 Jayantilal J Bathani Pediatrics 505 Hazen St, Ste 203, Paw Paw, MI 49079 2006-03-29
1548231202 Gregory Cassidy Physician Assistant 125 N Kalamazoo St, #82, Paw Paw, MI 49079 2006-01-31
1073047122 Theresa Arnold Social Worker 181 W Michigan Ave Ste 3, Paw Paw, MI 49079 2017-04-15
1992249510 Catherine M Vandyk Nurse Practitioner 451 Health Pkwy Ste G, Paw Paw, MI 49079 2016-12-16
Find all providers in zip 49079

Taxonomy Information

Taxonomy Code 2084P0015X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Psychosomatic Medicine

Taxonomy Definition

Psychosomatic Medicine is subspecialty in the diagnosis and treatment of psychiatric disorders and symptoms in complex medically ill patients. This subspecialty includes treatment of patients with acute or chronic medical, neurological, obstetrical or surgical illness in which psychiatric illness is affecting their medical care and/or quality of life such as HIV infection, organ transplantation, heart disease, renal failure, cancer, stroke, traumatic brain injury, high-risk pregnancy and COPD, among others. Patients also may be those who have a psychiatric disorder that is the direct consequence of a primary medical condition, or a somatoform disorder or psychological factors affecting a general medical condition. Psychiatrists specializing in Psychosomatic Medicine provide consultation-liaison services in general medical hospitals, attend on medical psychiatry inpatient units, and provide collaborative care in primary care and other outpatient settings.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1982824512 Psychiatric Physicians, Pllc Psychiatry & Neurology 4461 Grand Haven Road, Muskegon, MI 49441 2007-04-26
1124244157 Thomas H. Vandoren Psychiatry & Neurology 5320 Holiday Ter Ste 3, Kalamazoo, MI 49009-2100 2007-04-18
1861608937 Birmingham Counseling Center, P.C. Psychiatry & Neurology 1137 Holland St, Birmingham, MI 48009-6849 2007-05-15
1548476435 Steven Feldman Psychiatry & Neurology 251 E Merrill St, Suite 230, Birmingham, MI 48009-6121 2007-05-15
1568680866 Ronald William Rosenberg Psychiatry & Neurology 6431 Inkster Rd, Suite 226, Bloomfield Hills, MI 48301-1310 2007-04-23
1790901429 Kai Anderson Psychiatry & Neurology 1632 Stone St, Saginaw, MI 48602 2007-04-18

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City PAW PAW
Zip Code 49079

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Dataset Information

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.

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