MOLLY GABRIEL-CHAMPINE (NPI# 1235507914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235507914 |
| Entity Type | Individual |
| Full Name | MOLLY GABRIEL-CHAMPINE |
| Credential | PHD |
| Practice Address |
1900 Columbus Ave Bay City MI 48708-6831 |
| Practice Telephone | 9898954625 |
| Mailing Telephone | 9898954625 |
| Enumeration Date | 2015-09-11 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 6301016384 | MI | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| G3230 Beecher Rd, Flint, MI 485323604 | 8103425620 |
| Street Address |
1900 COLUMBUS AVE |
| City | BAY CITY |
| State | MI |
| Zip Code | 48708-6831 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952383242 | Christopher A. Mills | Anesthesiology | 1900 Columbus Ave, Bay City, MI 48708-6880 | 2005-11-14 |
| 1699390591 | Michael Donald Bouckaert | Pharmacist | 1900 Columbus Ave, Bay City, MI 48708-6831 | 2020-06-16 |
| 1851916092 | Eric Lee Howard | Student in an Organized Health Care Education/Training Program | 1900 Columbus Ave, Bay City, MI 48708-6831 | 2020-06-13 |
| 1174147417 | Lindsey Krueger | Student in an Organized Health Care Education/Training Program | 1900 Columbus Ave, Bay City, MI 48708-6831 | 2020-06-02 |
| 1356960298 | Richard Michael Mohammed | Family Medicine | 1900 Columbus Ave, Bay City, MI 48708-6880 | 2020-04-10 |
| 1457996407 | Wilma Smith | Nurse Practitioner | 1900 Columbus Ave, Bay City, MI 48708-6831 | 2019-11-14 |
| 1851934483 | Tiffanee Frances Wazny-kohl | Nurse Practitioner | 1900 Columbus Ave, Bay City, MI 48708-6831 | 2019-10-27 |
| 1013563261 | Christine L Gransden | Nurse Practitioner | 1900 Columbus Ave, Bay City, MI 48708-6831 | 2019-08-14 |
| 1841844792 | Kayla Zachary | Nurse Anesthetist, Certified Registered | 1900 Columbus Ave, Bay City, MI 48708-6831 | 2019-07-30 |
| 1891349601 | Audrey Adams | Nurse Anesthetist, Certified Registered | 1900 Columbus Ave, Bay City, MI 48708-6831 | 2019-07-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497370399 | Francine Marie Dixon | Pharmacist | 1800 Columbus Ave Ste P, Bay City, MI 48708 | 2020-06-16 |
| 1417578261 | Kassie L Pagliughi | Counselor | 1100 N. Grant Street, Bay City, MI 48708 | 2020-05-04 |
| 1346711694 | Connie Lynn Mossner | Physical Therapy Assistant | 2112 16 Th Street, Ste 7, Bay City, MI 48708 | 2018-12-16 |
| 1275003766 | Great Lakes Bay Health Centers | Clinic/Center | 1821 Mckinley St, Bay City, MI 48708 | 2018-11-28 |
| 1891204970 | Ronald Lavern Polhill Jr. | Registered Nurse | 701 South Lincoln St., Bay City, MI 48708 | 2017-09-21 |
| 1447610001 | Jeffrey M Hunt | Nurse Practitioner | 714 S. Trumbull St., Bay City, MI 48708 | 2016-02-25 |
| 1457762437 | Asim Malik | Emergency Medicine | 1900 Columbus Ave # B203, Bay City, MI 48708 | 2014-05-13 |
| 1538584768 | Sarah R. Vanparis | Registered Nurse | 1010 N. Madison, Bay City, MI 48708 | 2014-02-25 |
| 1033549316 | Melissa Rood | Case Manager/Care Coordinator | 1001 Mulholland, Bay City, MI 48708 | 2013-11-22 |
| 1528498953 | Shannon Rae Ogg | Social Worker | 2110 16th St Ste 7, Bay City, MI 48708 | 2013-11-21 |
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| 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 |
|---|---|---|---|---|
| 1295926400 | Deborah Hastings | Psychologist | 1420 Center Ave, Bay City, MI 48708-6110 | 2007-08-05 |
| 1528176096 | Rosemary A Jalovaara | Psychologist | 2355 Delta Road, Bay City, MI 48706 | 2006-08-26 |
| 1942699590 | Kelsey Rose Laskowski | Psychologist | 3707 Katalin Ct, Bay City, MI 48706-2161 | 2015-01-21 |
| 1932520293 | Patrick Baker | Psychologist | 201 Mulholland St, Bay City, MI 48708-7693 | 2014-01-03 |
| 1588094619 | Heather Nix | Psychologist | 135 Washington Ave, Bay City, MI 48708-5845 | 2013-11-27 |
| 1033548102 | Flavia Vasconcelos | Psychologist | 135 Washington Ave, Bay City, MI 48708-5845 | 2013-11-08 |
| 1124364831 | John T Saglime Jr. | Psychologist | 1700 Golden Ave, Bay City, TX 77414-3122 | 2012-12-27 |
| 1922357557 | Christa Rose Starkey | Psychologist | 614 Howard St, Bay City, MI 48708-7051 | 2012-08-29 |
| 1942560339 | Mclaren Bay Region | Psychologist | 690 S Trumbull St, Bay City, MI 48708 | 2012-05-21 |
| 1639444391 | Kristi Lynn Hainstock | Psychologist | 2919 Wilder Rd, Suite 2, Bay City, MI 48706-9299 | 2012-03-14 |
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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.