DR. PETER J BIRKELAND (NPI# 1245331149) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245331149 |
| Entity Type | Individual |
| Full Name | DR. PETER J BIRKELAND |
| Credential | PHD |
| Practice Address |
16 North Monroe Rockford MI 49341 |
| Practice Telephone | 6168664830 |
| Practice Fax Number | 6168664944 |
| Mailing Telephone | 6168664830 |
| Mailing Fax Number | 6168664944 |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
6301006087 | MI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBS MICHIGAN | 680D1496D | 01 |
| VALUE OPTIONS | 041792 | 01 |
| Street Address |
16 NORTH MONROE |
| City | ROCKFORD |
| State | MI |
| Zip Code | 49341 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760787998 | Rockford Psychological Services | Psychologist | 16 North Monroe, Rockford, MI 49341 | 2011-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801451836 | Heather Nash | Social Worker | 65 S. Main Street, Lower Level, Rockford, MI 49341 | 2019-05-06 |
| 1366967069 | Caitlin Lebron | Case Manager/Care Coordinator | 8625 Wildcat Run Dr Ne, Rockford, MI 49341 | 2017-08-03 |
| 1366967077 | Elite Nurse Staffing, LLC | Nursing Care | 3836 Windwood Drive, Ne, Rockford, MI 49341 | 2017-08-03 |
| 1336678747 | Melissa Diane Maynard | Behavior Technician | 3361 36th St., Grand Rapids, MI 49341 | 2017-06-08 |
| 1376077453 | Spectrum Health Primary Care Partners | Internal Medicine | 8501 Meadowcreek Dr, Rockford, MI 49341 | 2017-04-17 |
| 1871025254 | Robin D Dine | Behavior Technician | 8636 Shaner Ave, Rockford, MI 49341 | 2017-04-03 |
| 1528503216 | Miles Skalnek | Pharmacist | 511 10 Mile Road, Rockford, MI 49341 | 2017-01-04 |
| 1366801664 | Lorri Ann Kelbel | Massage Therapist | 11591 Northland Drive Ne, Rockford, MI 49341 | 2016-02-15 |
| 1275872046 | Eugene Louis Bonofiglo | Dentist | 4655- 14 Mile Rd Ne, Rockford, MI 49341 | 2013-02-13 |
| 1740539246 | Erica Joyce Nichols | Chiropractor | 6769 Courtland Dr, Suite 100, Rockford, MI 49341 | 2012-08-30 |
| Find all providers in zip 49341 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114549581 | Enlighten Mind Body Wellness LLC | Psychologist | 3106 Spring Harbour Dr, Rockford, IL 61114-6605 | 2020-05-08 |
| 1275920969 | Jason Soriano | Psychologist | 3784 Fox Pointe, Rockford, IL 61114-7078 | 2015-04-20 |
| 1326364167 | Paula Marie Mackenzie | Psychologist | 124 N Water St Ste 304, Rockford, IL 61107-3975 | 2010-04-19 |
| 1225369804 | Kevin Cubala | Psychologist | 5301 E State St Ste 304, Rockford, IL 61108-2390 | 2010-01-21 |
| 1609105717 | Michael Michalik | Psychologist | 6066 Strathmoor Dr Ste 3c, Rockford, IL 61107-6633 | 2009-12-18 |
| 1700025152 | Kathryn J Roaleen | Psychologist | 5039 10 Mile Rd Ne, Rockford, MI 49341-9301 | 2009-02-09 |
| 1649457987 | Abigail Guevara Hansen | Psychologist | 16 N Monroe St, Rockford, MI 49341-1228 | 2008-01-29 |
| 1992831358 | Deena Iris Cantu Plews | Psychologist | 16 N Monroe, Rockford, MI 49341 | 2007-02-27 |
| 1508928482 | Brian John Seely | Psychologist | 7465 Sunfish Lake Ct Ne, Rockford, MI 49341-9074 | 2006-12-15 |
| 1053421818 | Abigail Guevara Phd PC | Psychologist | 16 N Moncoe, Rockford, MI 49341 | 2006-08-30 |
| Find all providers in ROCKFORD | ||||
Please comment or provide details below to improve the information on DR. PETER J BIRKELAND.
| 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.