BORGESS MEDICAL CENTER (NPI# 1194907071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194907071 |
| Entity Type | Organization |
| Organization Name | BORGESS MEDICAL CENTER |
| Practice Address |
1521 Gull Road Kalamazoo MI 49048 |
| Mailing Address |
5943 Stadium Drive Kalamazoo MI 49009 |
| Practice Telephone | 2692267000 |
| Enumeration Date | 2007-12-03 |
| Last Update Date | 2007-12-03 |
| Authorized Official Name | EDWARD MILLERMAIER (CMO) |
| Authorized Official Telephone | 2695522910 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BCBSM TRADITIONAL | P10C91094 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356523229 | Borgess Medical Center | Psychiatry & Neurology | 1521 Gull Road, Kalamazoo, MI 49048 | 2007-12-03 |
| 1821045212 | Borgess Medical Center | Internal Medicine | 411 Naomi St, Plainwell, MI 49080-1222 | 2006-05-30 |
| 1720406333 | Borgess Medical Center | Pharmacy | 3035 Capital Ave Sw, Battle Creek, MI 49015-4334 | 2014-04-01 |
| 1629495320 | Borgess Medical Center | Emergency Medicine | 701 S Health Pkwy, Three Rivers, MI 49093-8352 | 2014-03-20 |
| 1881031292 | Borgess Medical Center | Psychiatric Hospital | 1521 Gull Rd, Kalamazoo, MI 49048-1640 | 2013-05-24 |
| 1881999464 | Borgess Medical Center | Clinic/Center | 7901 Angling Rd, Portage, MI 49024-0714 | 2011-01-13 |
| 1285816165 | Borgess Medical Center | Psychologist | 1521 Gull Rd, Kalamazoo, MI 49048-1640 | 2007-12-03 |
| 1770709602 | Borgess Medical Center | Internal Medicine | 1717 Shaffer St, Suite 232, Kalamazoo, MI 49048-1647 | 2007-04-18 |
| 1083744122 | Borgess Medical Center | Nurse Practitioner | 3025 Gull Rd, Kalamazoo, MI 49048-1281 | 2007-03-07 |
| 1336279827 | Borgess Medical Center | Surgery | 1535 Gull Rd, Suite 005, Kalamazoo, MI 49048-1650 | 2007-03-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | BORGESS MEDICAL CENTER INPATIENT PHARMACY | 1521 Gull Road, Kalamazoo, MI 49048-1640 |
| Street Address |
1521 GULL ROAD |
| City | KALAMAZOO |
| State | MI |
| Zip Code | 49048 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356523229 | Borgess Medical Center | Psychiatry & Neurology | 1521 Gull Road, Kalamazoo, MI 49048 | 2007-12-03 |
| 1073088357 | Christie Graziano | Nurse Practitioner | 1521 Gull Road, Kalamazoo, MI 49048 | 2018-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790214146 | Sally Leigh Weigandt | Technician, Other | 5438 Lucerne Ave, Kalamazoo, MI 49048 | 2017-06-08 |
| 1437606670 | Amanda Ezekiel | Advanced Practice Midwife | 1523 Gull Rd Ste 250, Kalamazoo, MI 49048 | 2016-09-06 |
| 1700238987 | Brittany Bittenbender | Technician, Other | 5840 E Cork St, Kalamazoo, MI 49048 | 2016-07-12 |
| 1255747176 | Araena Payton | Early Intervention Provider Agency | 1313 Hotop Ave, Kalamazoo, MI 49048 | 2014-07-11 |
| 1508297151 | Hope Network Eastwood House | Residential Treatment Facility, Physical Disabilities | 2236 Brook Drive, Kalamazoo, MI 49048 | 2013-12-09 |
| 1457780314 | Hope Network Rehabilitation Servicesq | Residential Treatment Facility, Physical Disabilities | 2236 Brooke Drive, Kalamazoo, MI 49048 | 2013-11-01 |
| 1467889576 | Aaron Van Heest | Social Worker | 813 Chrysler St., Kalamazoo, MI 49048 | 2013-10-03 |
| 1760737308 | Salem A. Salem | Internal Medicine | Ascension Borgess Hospital, 1521 Gull Rd, Kalamazoo, MI 49048 | 2012-07-19 |
| 1629290135 | Robert Claude Gano | Dentist | 5462 Gull Rd Suite 7, Kalamazoo, MI 49048 | 2007-05-03 |
| 1326193657 | Mark E Richardson | Dentist | 1103 Gayle Ave, Kalamazoo, MI 49048 | 2007-01-25 |
| Find all providers in zip 49048 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700324415 | Philip Richard Granish | Psychologist | 4341 S. Westnedge, Suite 1103, Kalamazoo, MI 49008 | 2017-02-02 |
| 1043662745 | Holloway Marston | Psychologist | 717 W South St, Apt. #6, Kalamazoo, MI 49007 | 2016-07-06 |
| 1033499173 | Chiquitha Cornelius | Psychologist | 7061 W N Ave, Kalamazoo, MI 49009-9508 | 2011-08-21 |
| 1336311257 | Margaret O Ajayi-nabors | Psychologist | 350 E Michigan Ave, Suite 135, Kalamazoo, MI 49007-3800 | 2008-03-31 |
| 1275737413 | Dorman and Associates Plc | Psychologist | 3207 Stadium Dr, Suite 2, Kalamazoo, MI 49008-1536 | 2007-06-12 |
| 1922212265 | Nancy Ann Hayes | Psychologist | 4341 S Westnedge, Suite 2109, Kalamazoo, MI 49008 | 2007-05-09 |
| 1043430184 | Yanis Peteris Grants | Psychologist | 4341 S Westnedge Av, Suite 2109, Kalamazoo, MI 49008 | 2007-04-30 |
| 1548385792 | Matthew G Rushlau | Psychologist | 4031 W Main St Ste 400, Kalamazoo, MI 49006-3730 | 2007-03-20 |
| 1477686251 | Carla A Fallon | Psychologist | 414 W Crooked Lake Drive, Kalamazoo, MI 49009-8930 | 2007-03-13 |
| 1396885604 | Scott Kelly & Associates PC | Psychologist | 3125 W Main St, Kalamazoo, MI 49006-2997 | 2007-02-07 |
| Find all providers in KALAMAZOO | ||||
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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.