ELIZABETH KOWAL (NPI# 1265650667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265650667 |
| Entity Type | Individual |
| Full Name | ELIZABETH KOWAL |
| Practice Address |
35 Michigan St Ne Ste 5201 Grand Rapids MI 49503-2514 |
| Mailing Address |
100 Michigan St Ne Mc 845 Grand Rapids MI 49503-2560 |
| Practice Telephone | 6162672830 |
| Practice Fax Number | 6162679024 |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2017-08-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
4301106410 | MI | Allopathic & Osteopathic Physicians |
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
01070813A | IN | Allopathic & Osteopathic Physicians |
| Street Address |
35 MICHIGAN ST NE STE 5201 |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49503-2514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477534931 | John William Polley | Plastic Surgery | 35 Michigan St Ne Ste 5201, Grand Rapids, MI 49503-2514 | 2005-11-10 |
| 1699243253 | Lisa Yuxin Cai | Physician Assistant | 35 Michigan St Ne Ste 5201, Grand Rapids, MI 49503-2530 | 2018-11-12 |
| 1902313364 | Jennifer Bursley | Nurse Practitioner | 35 Michigan St Ne Ste 5201, Grand Rapids, MI 49503-2530 | 2018-01-08 |
| 1457867251 | Patricia Ann Richardson | Psychologist | 35 Michigan St Ne Ste 5201, Grand Rapids, MI 49503-2530 | 2017-12-17 |
| 1861903668 | Kelsey Ann Gonring | Psychologist | 35 Michigan St Ne Ste 5201, Grand Rapids, MI 49503-2530 | 2017-10-19 |
| 1922541655 | Abby Erhorn | Speech-Language Pathologist | 35 Michigan St Ne Ste 5201, Grand Rapids, MI 49503-2530 | 2016-11-29 |
| 1427505890 | Seema Mahdavi | Psychologist | 35 Michigan St Ne Ste 5201, Grand Rapids, MI 49503-2530 | 2016-09-02 |
| 1619346285 | Brianne Alyse Brooker | Clinical Neuropsychologist | 35 Michigan St Ne Ste 5201, Grand Rapids, MI 49503-2530 | 2015-09-24 |
| 1457720310 | Christina Limke | Psychologist | 35 Michigan St Ne Ste 5201, Grand Rapids, MI 49503-2514 | 2015-09-22 |
| 1669872966 | Erin Louise Barkow | Psychologist | 35 Michigan St Ne Ste 5201, Grand Rapids, MI 49503 | 2014-08-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801496195 | Airway Oxygen, Inc. | Durable Medical Equipment & Medical Supplies | Lemmen Holton Cancer Pavilion, 145 Michigan St Ne Ste 3400, Grand Rapids, MI 49503 | 2020-10-27 |
| 1730707282 | Adriana Molina-schmuker | Counselor | 901 Eastern Avenue Ne, Grand Rapids, MI 49503 | 2020-07-10 |
| 1477176949 | Kimberly Buskirk | Specialist | 1131 Ionia Ava Nw, Grand Rapids, MI 49503 | 2020-05-19 |
| 1124647805 | Jared Host | Speech-Language Pathologist | Mercy Health Hauenstein Neuroscience Center 220 Cherry, Grand Rapids, MI 49503 | 2020-04-13 |
| 1265061378 | Heather Gladfelter | Student in an Organized Health Care Education/Training Program | 339 Barclay Ave Ne Ste 300, Grand Rapids, MI 49503 | 2020-04-02 |
| 1194368647 | Amy Jo Arends | Nurse Practitioner | 350 Lafayette S.e., Suite 301, Grand Rapids, MI 49503 | 2019-10-28 |
| 1376185199 | Beth Arce | Occupational Therapist | 245 Cherry St Se Suite 302, Grand Rapids, MI 49503 | 2019-10-14 |
| 1295387256 | Althea Ziolkowski | Licensed Practical Nurse | Salvation Army Turning Point Programs, 1215 Fulton St E, Grand Rapids, MI 49503 | 2019-07-10 |
| 1790340719 | Heather Anne Fox | Occupational Therapist | Marywood, 111 Lakeside Dr Ne, Grand Rapids, MI 49503 | 2019-05-06 |
| 1184182883 | April L Kaiserlian | Social Worker | 983 Spaulding Ave Ne, Ada, MI 49503 | 2019-03-12 |
| Find all providers in zip 49503 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164712055 | Tatjana Maric | Psychiatry & Neurology | 420 Baltimore Dr Ne, Grand Rapids, MI 49503-3934 | 2011-04-12 |
| 1104128602 | Hope Network Behavioral Health Services | Psychiatry & Neurology | 3361 36th Street, Grand Rapids, MI 49512 | 2010-12-03 |
| 1033341888 | Subodh Jain | Psychiatry & Neurology | 2750 E Beltline Ave Ne Fl 3, Grand Rapids, MI 49525-8614 | 2009-08-12 |
| 1245486919 | Josharon Mutchler, Md, Pllc | Psychiatry & Neurology | 2035 28th St Se, Suite P, Grand Rapids, MI 49508-1594 | 2008-08-14 |
| 1093911505 | Jennifer Bowden | Psychiatry & Neurology | 35 Michigan St Ne Ste 5201, Grand Rapids, MI 49503 | 2007-06-22 |
| 1063575744 | Janice K Coates | Psychiatry & Neurology | 100 Michigan St Ne, Grand Rapids, MI 49503-2560 | 2006-12-18 |
| 1912081589 | Dhanashree Mahesh | Psychiatry & Neurology | 1055 Medical Park Dr Se, Grand Rapids, MI 49546-3607 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316376056 | Esmaeil Emami | Psychiatry & Neurology | 2955 Franklin Rd, Bloomfield Hills, MI 48302-0917 | 2013-11-04 |
| 1154760312 | Samantha Fugate Kennedy | Psychiatry & Neurology | 909 Fee Rd Ste B119, East Lansing, MI 48824 | 2013-06-21 |
| 1407199961 | David Donald Krohn | Psychiatry & Neurology | 563 Highland Park Dr, Traverse City, MI 49686-2863 | 2013-04-03 |
| 1972893824 | Katherine Barbara Krive | Psychiatry & Neurology | 801 S Waverly Rd Ste 100, Lansing, MI 48917-4200 | 2011-04-12 |
| 1295056653 | Veronica Yap Tan | Psychiatry & Neurology | 23354 Portage Way, Apt. 2212, Novi, MI 48375 | 2010-06-18 |
| 1548588874 | Katie Alanna Keller | Psychiatry & Neurology | 79 Alexandrine West, Detroit, MI 48201 | 2010-05-11 |
| 1538390133 | Behavioral Health Associates Pllc | Psychiatry & Neurology | 19500 Middlebelt Rd, Suite 350e, Livonia, MI 48152-2196 | 2009-07-30 |
| 1235375775 | Kristine Baker | Psychiatry & Neurology | 721 Cherokee St, Traverse City, MI 49684-1401 | 2009-01-06 |
| 1689820078 | Margaret Mary Casey | Psychiatry & Neurology | 1326 Saint Antoine St, Detroit, MI 48226-2301 | 2008-08-18 |
| 1992951693 | Saadia Nosheen | Psychiatry & Neurology | 4250 Plymouth Rd Spc 5766, University of Michigan, Department of Psychiatry, Ann Arbor, MI 48109-2700 | 2008-08-13 |
| Find all providers with the same taxonomy | ||||
| City | GRAND RAPIDS |
| Zip Code | 49503 |
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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.