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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084P0015X |
Psychiatry & Neurology Specialization: Psychosomatic Medicine |
Allopathic & Osteopathic Physicians |
Street Address |
801 HAZEN STREET SUITE C |
City | PAW PAW |
State | MI |
Zip Code | 49079-0249 |
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 |
Find all providers in the same location |
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 Code | 2084P0015X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Psychosomatic Medicine |
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] |
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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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.