DR. NICHOLAS RUBEN DEBERNARDI (NPI# 1164768065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164768065 |
| Entity Type | Individual |
| Full Name | DR. NICHOLAS RUBEN DEBERNARDI |
| Credential | PH. D. |
| Practice Address |
1836 Baldwin St Jenison MI 49428-8901 |
| Practice Telephone | 6164570016 |
| Practice Fax Number | 6164571950 |
| Mailing Telephone | 6164570016 |
| Mailing Fax Number | 6164571950 |
| Enumeration Date | 2012-12-20 |
| Last Update Date | 2012-12-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
6301015230 | MI | Behavioral Health & Social Service Providers |
| Street Address |
1836 BALDWIN ST |
| City | JENISON |
| State | MI |
| Zip Code | 49428-8901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790736247 | Marie Annette Mckay | Psychologist | 1836 Baldwin St, Jenison, MI 49428-8901 | 2006-05-12 |
| 1447788062 | Lindsey Sherd | Psychologist | 1836 Baldwin St, Jenison, MI 49428-8901 | 2017-05-26 |
| 1205382512 | Allie Jo Rauser | Social Worker | 1836 Baldwin St, Jenison, MI 49428-8901 | 2016-08-27 |
| 1124491055 | Angela Iacoboni | Social Worker | 1836 Baldwin St, Jenison, MI 49428-8901 | 2015-10-30 |
| 1750729828 | Michelle Sheridan | Marriage & Family Therapist | 1836 Baldwin St, Jenison, MI 49428-8901 | 2013-06-11 |
| 1639432883 | Susan Jane Powers | Psychologist | 1836 Baldwin St, Jenison, MI 49428-8901 | 2012-06-22 |
| 1700149945 | Carol Z. Steel | Psychologist | 1836 Baldwin St, Jenison, MI 49428-8901 | 2012-06-22 |
| 1669740767 | Janette D Curtis | Psychologist | 1836 Baldwin St, Jenison, MI 49428-8901 | 2011-12-05 |
| 1104060649 | Patricia G Espinoza | Psychologist | 1836 Baldwin St, Jenison, MI 49428-8901 | 2009-04-28 |
| 1306036959 | Jenison Psychological Services Inc | Clinic/Center | 1836 Baldwin St, Jenison, MI 49428-8901 | 2007-07-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902355076 | Brian Jacob Wolters | Chiropractor | 7579 Main Street, Jenison, MI 49428 | 2016-09-29 |
| 1730530569 | Michael Walton | Counselor | 7678 Cottonwood Dr Ste C, Jenison, MI 49428 | 2016-06-22 |
| 1972950301 | Kyler Ross Debruyn | Student in an Organized Health Care Education/Training Program | 1932 Cedarbrook Drive, Jenison, MI 49428 | 2016-05-16 |
| 1932529799 | Patrick Christopher Schafer | Family Medicine | 345 Baldwin St, Jenison, MI 49428 | 2014-04-21 |
| 1548469216 | Sarah Anne Sainem Gordon | Counselor | 7506 Church Street, Jenison, MI 49428 | 2007-07-13 |
| 1265578900 | Stephen Mitchael Dadd | Dentist | 657 Baldwin St, Jenison, MI 49428 | 2007-01-29 |
| 1831277136 | Tyler Andrew Wolf | Dentist | 7678 Cottonwood Dr, Jenison, MI 49428 | 2006-11-02 |
| 1497840342 | Bruce A Seitz Dds PC | Dentist | 701 Baldwin, Jenison, MI 49428 | 2006-10-04 |
| 1134221260 | Aaron N Kik | Chiropractor | 7646 20th Ave, Jenison, MI 49428 | 2006-09-01 |
| 1700899135 | Mark Laman Powell | Dentist | 2076 Baldwin Dr, Jenison, MI 49428 | 2006-08-15 |
| Find all providers in zip 49428 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457305070 | James Ernest Metcalf | Psychologist | 2766 Baldwin St, Jenison, MI 49428-8701 | 2006-05-19 |
| 1790736247 | Marie Annette Mckay | Psychologist | 1836 Baldwin St, Jenison, MI 49428-8901 | 2006-05-12 |
| 1548635956 | Roza Forgach | Psychologist | 7086 8th Ave, Jenison, MI 49428-9352 | 2015-12-10 |
| 1639432883 | Susan Jane Powers | Psychologist | 1836 Baldwin St, Jenison, MI 49428-8901 | 2012-06-22 |
| 1700149945 | Carol Z. Steel | Psychologist | 1836 Baldwin St, Jenison, MI 49428-8901 | 2012-06-22 |
| 1669740767 | Janette D Curtis | Psychologist | 1836 Baldwin St, Jenison, MI 49428-8901 | 2011-12-05 |
| 1275821654 | Hilary Stratton | Psychologist | 7086 8th Ave, Jenison, MI 49428-9352 | 2011-07-19 |
| 1295854263 | Tracy Lynn Kroeger | Psychologist | 7086 8th Ave, Jenison, MI 49428-9352 | 2007-03-28 |
| 1942327002 | David Laman | Psychologist | 7086 8th Ave, Jenison, MI 49428-9352 | 2007-03-23 |
| 1811947385 | Edward Phillip Schmitt Jr. | Psychologist | 1836 Baldwin St, Jenison, MI 49428-8901 | 2006-05-12 |
| Find all providers in JENISON | ||||
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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.