AMY BRECKON (NPI# 1164965877) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164965877 |
Entity Type | Individual |
Full Name | AMY BRECKON |
Credential | MA, LLP |
Practice Address |
8201 Anglers Ln Hudsonville MI 49426-8641 |
Practice Telephone | 6167233925 |
Mailing Telephone | 6167233925 |
Enumeration Date | 2016-11-29 |
Last Update Date | 2020-11-06 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TM1800X |
Psychologist Specialization: Mental Retardation & Developmental Disabilities |
6301008475 | MI | Behavioral Health & Social Service Providers |
Street Address |
8201 ANGLERS LN |
City | HUDSONVILLE |
State | MI |
Zip Code | 49426-8641 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528680089 | Bree D Bode | Health Educator | 3625 Black Star St, Hudsonville, MI 49426 | 2020-05-07 |
1306409891 | Rachael Elizabeth Schutter | Physical Therapy Assistant | 3650 Vanburen St, Hudsonville, MI 49426 | 2019-04-19 |
1215430699 | Jennifer Anne-gluszewski Patterson | Physical Therapist | 6105 Wilson Ave, Wyoming, MI 49426 | 2018-03-13 |
1457850802 | Spectrum Health Primary Care Partners | Physician Assistant | 4075 32nd Ave, Hudsonville, MI 49426 | 2018-02-12 |
1952845182 | Katie Farnquist | Counselor | 1388 Baldwin St., Suite A, Jenison, MI 49426 | 2016-12-07 |
1205238540 | Marta Stern | Mechanotherapist | 3152a Port Sheldon Rd., Hudsonville, MI 49426 | 2014-09-18 |
1376883355 | Traci L Potter | Social Worker | 4216 Nancy St., Hudsonville, MI 49426 | 2013-02-27 |
1871846790 | Dignity Home Care Professionals | Home Health | 7499 Russell Dr, Hudsonville, MI 49426 | 2012-10-16 |
1427332303 | Benjamin Matthew Bringedahl | Pharmacist | 3457 Stonyridge Dr, Hudsonville, MI 49426 | 2011-10-10 |
1295017234 | Jennifer Lemieux | Pharmacist | 1463 Rebecca Run, Hudsonville, MI 49426 | 2011-09-15 |
Find all providers in zip 49426 |
Taxonomy Code | 103TM1800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Mental Retardation & Developmental Disabilities |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396363933 | Parents Zone, LLC | Psychologist | 23481 Seneca Street, Oak Park, MI 48237-2245 | 2020-07-09 |
1447802111 | Natalia Viera-vanarkel | Psychologist | 3017 Plainfield Ave Ne, Grand Rapids, MI 49505-3258 | 2019-07-12 |
1477092054 | Jeremy Ladronka | Psychologist | 640 Seminole Rd, Norton Shores, MI 49441-4720 | 2017-02-16 |
1356746879 | Abby Grant | Psychologist | 146 W 23rd St, Holland, MI 49423-4709 | 2014-10-27 |
1497179170 | Detroit Wayne Mental Health Authority | Psychologist | 707 W. Milwaukee, 3rd Floor Finance, Detroit, MI 48202-2599 | 2014-02-14 |
1053735498 | Amary Lehto | Psychologist | 649 E Boston Blvd, Detroit, MI 48202-1322 | 2014-02-05 |
1750713210 | Janet Irene Mcalpine | Psychologist | 21650 Behrendt Ave, Warren, MI 48091-2781 | 2013-08-06 |
1114365277 | Angela Nicole Oshkaloff | Psychologist | 6594 Perryville Rd, Holly, MI 48442-9499 | 2013-06-11 |
1750641452 | Spencer Manor Living Well | Psychologist | 2219 S Term St, Burton, MI 48519-1030 | 2012-05-29 |
1619204914 | Anitha Mummineni | Psychologist | 50889 Briar Ridge Lane, Northville, MI 48168-3215 | 2009-11-06 |
Find all providers with the same taxonomy |
City | HUDSONVILLE |
Zip Code | 49426 |
Please comment or provide details below to improve the information on AMY BRECKON.
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.