NICOLE WOLVIN (NPI# 1255762043) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1255762043 |
Entity Type | Individual |
Full Name | NICOLE WOLVIN |
Practice Address |
801 Hazen St Paw Paw MI 49079-2008 |
Practice Telephone | 2696553334 |
Practice Fax Number | 2696576523 |
Mailing Telephone | 2696553334 |
Mailing Fax Number | 2696576523 |
Enumeration Date | 2013-12-05 |
Last Update Date | 2013-12-05 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
Behavioral Health & Social Service Providers |
Street Address |
801 HAZEN ST |
City | PAW PAW |
State | MI |
Zip Code | 49079-2008 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346200631 | Janet Louise Dodge | Social Worker | 801 Hazen St, Suite C, Paw Paw, MI 49079-0249 | 2006-03-23 |
1962043588 | Jody Waite | Social Worker | 801 Hazen St, Paw Paw, MI 49079-2008 | 2019-10-04 |
1104479567 | Kimberly Duell | Registered Nurse | 801 Hazen St, Paw Paw, MI 49079-2008 | 2019-07-24 |
1932635042 | Michael Phillips | Registered Nurse | 801 Hazen St, Ste. C, Paw Paw, MI 49079-2008 | 2017-05-10 |
1871033936 | Karen Riffer-reinert | Social Worker | 801 Hazen St, Suite C, Paw Paw, MI 49079-2008 | 2017-03-08 |
1316480957 | Cynthia Whittingham | Social Worker | 801 Hazen St, Suite C, Paw Paw, MI 49079-2008 | 2016-11-30 |
1538511704 | Jennifer Palm | Social Worker | 801 Hazen St, Suite C, Paw Paw, MI 49079-2008 | 2016-07-12 |
1386093508 | Denise Lounsbury | Community Health Worker | 801 Hazen St, Suite C, Paw Paw, MI 49079-2008 | 2016-06-08 |
1770956278 | Jane Turner | Social Worker | 801 Hazen St, Suite C, Paw Paw, MI 49079-2008 | 2015-11-05 |
1396117669 | Jessica Stephenson-parise | Counselor | 801 Hazen St, Suite C, Paw Paw, MI 49079-2008 | 2015-10-27 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700359387 | Elizabeth Ann Heskett | Social Worker | Bronson Lakeview Family Care, 451 Health Parkway, Suite B, Paw Paw, MI 49079 | 2019-01-07 |
1346775269 | Timothy Adli Kanaan | Counselor | 816 E Michigan Ave Ste 103, Paw Paw, MI 49079 | 2017-04-28 |
1558655464 | Tamayi Bwititi | Family Medicine | 451 Health Pkwy Ste G, Paw Paw, MI 49079 | 2011-06-08 |
1942401047 | Jenny Adina Grunberg | Dentist | 54055 County Rd 653, Paw Paw, MI 49079 | 2007-05-29 |
1912058918 | David James Potts | Psychologist | 181 West Michigan Ave Suite 3, Mapleview Consultation Center P.c, Paw Paw, MI 49079 | 2007-01-16 |
1760438378 | Starhealth Multi-specialty Group, P.C. Pharmacy | Pharmacist | 451 Health Parkway, Paw Paw, MI 49079 | 2006-05-25 |
1528029568 | Jayantilal J Bathani | Pediatrics | 505 Hazen St, Ste 203, Paw Paw, MI 49079 | 2006-03-29 |
1548231202 | Gregory Cassidy | Physician Assistant | 125 N Kalamazoo St, #82, Paw Paw, MI 49079 | 2006-01-31 |
1649782418 | Amber Bemis | Occupational Therapy Assistant | 801 Hazen Street, Suite C, Paw Paw, MI 49079 | 2017-11-01 |
1073047122 | Theresa Arnold | Social Worker | 181 W Michigan Ave Ste 3, Paw Paw, MI 49079 | 2017-04-15 |
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Taxonomy Code | 103TB0200X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Cognitive & Behavioral |
Definition to come... |
Notes: [1/1/2007: title modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528302585 | Lauren Cavalli | Psychologist | 600 E Michigan Ave, Paw Paw, MI 49079-1354 | 2012-11-15 |
1518263664 | Melanie Krieg | Psychologist | 801 Hazen St Ste C, Paw Paw, MI 49079-2008 | 2011-02-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144820598 | Alexander William Krieg | Psychologist | 31235 Ramble Rd, Franklin, MI 48025-1367 | 2020-10-26 |
1699389395 | Linda D Seltzer-sucher Phd LLC | Psychologist | 275 Bryn Mawr St, Birmingham, MI 48009-1501 | 2020-09-01 |
1780154435 | Erica Griffis Prime | Psychologist | 28066 Sunset Blvd W, Lathrup Village, MI 48076-2658 | 2018-11-26 |
1932600772 | Grand Blanc Psychology Pllc | Psychologist | 8382 Holly Rd Ste 1, Grand Blanc, MI 48439-1972 | 2018-02-27 |
1649792292 | Livingston Psychological Services, Pllc | Psychologist | 204 W Grand River Ave Ste 260, Howell, MI 48843 | 2017-07-14 |
1720529779 | Dannison | Psychologist | 604 S Rose St, Kalamazoo, MI 49007 | 2017-03-10 |
1912356254 | Maurice Moses Jr. | Psychologist | 541 Walbridge Dr, East Lansing, MI 48823-2039 | 2016-06-07 |
1538531017 | Life Journey Pllc | Psychologist | 2013 East Castle Drive Sw, Suite B, Grand Rapids, MI 49508 | 2015-10-23 |
1548654148 | Darya Owens | Psychologist | 1235 Saint Clair St, Detroit, MI 48214-3671 | 2015-03-23 |
1538582671 | Laura Ann Wyglinski, Ph. D. | Psychologist | 4675 Okemos Rd, Okemos, MI 48864-1974 | 2014-01-25 |
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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.