JENISON PSYCHOLOGICAL SERVICES INC (NPI# 1306036959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306036959 |
| Entity Type | Organization |
| Organization Name | JENISON PSYCHOLOGICAL SERVICES INC |
| Other Organization Name | JENISON PSYCHOLOGICAL SERVICES, P.C. |
| Practice Address |
1836 Baldwin St Jenison MI 49428-8901 |
| Practice Telephone | 6164570016 |
| Practice Fax Number | 6164571950 |
| Mailing Telephone | 6164570016 |
| Mailing Fax Number | 6164571950 |
| Enumeration Date | 2007-07-30 |
| Last Update Date | 2012-10-10 |
| Authorized Official Name | DR. EDWARD P SCHMITT JR. (PRESIDENT) |
| Authorized Official Telephone | 6164570016 |
| Authorized Official Credential | PSY.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Jenison Psychological Services, P.C. | Other Name - Individual/Organization |
| Street Address |
1836 BALDWIN ST |
| City | JENISON |
| State | MI |
| Zip Code | 49428-8901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790736247 | Marie Annette Mckay | Psychologist | 1836 Baldwin St, Jenison, MI 49428-8901 | 2006-05-12 |
| 1447788062 | Lindsey Sherd | Psychologist | 1836 Baldwin St, Jenison, MI 49428-8901 | 2017-05-26 |
| 1205382512 | Allie Jo Rauser | Social Worker | 1836 Baldwin St, Jenison, MI 49428-8901 | 2016-08-27 |
| 1124491055 | Angela Iacoboni | Social Worker | 1836 Baldwin St, Jenison, MI 49428-8901 | 2015-10-30 |
| 1750729828 | Michelle Sheridan | Marriage & Family Therapist | 1836 Baldwin St, Jenison, MI 49428-8901 | 2013-06-11 |
| 1164768065 | Nicholas Ruben Debernardi | Psychologist | 1836 Baldwin St, Jenison, MI 49428-8901 | 2012-12-20 |
| 1639432883 | Susan Jane Powers | Psychologist | 1836 Baldwin St, Jenison, MI 49428-8901 | 2012-06-22 |
| 1700149945 | Carol Z. Steel | Psychologist | 1836 Baldwin St, Jenison, MI 49428-8901 | 2012-06-22 |
| 1669740767 | Janette D Curtis | Psychologist | 1836 Baldwin St, Jenison, MI 49428-8901 | 2011-12-05 |
| 1104060649 | Patricia G Espinoza | Psychologist | 1836 Baldwin St, Jenison, MI 49428-8901 | 2009-04-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902355076 | Brian Jacob Wolters | Chiropractor | 7579 Main Street, Jenison, MI 49428 | 2016-09-29 |
| 1730530569 | Michael Walton | Counselor | 7678 Cottonwood Dr Ste C, Jenison, MI 49428 | 2016-06-22 |
| 1972950301 | Kyler Ross Debruyn | Student in an Organized Health Care Education/Training Program | 1932 Cedarbrook Drive, Jenison, MI 49428 | 2016-05-16 |
| 1932529799 | Patrick Christopher Schafer | Family Medicine | 345 Baldwin St, Jenison, MI 49428 | 2014-04-21 |
| 1548469216 | Sarah Anne Sainem Gordon | Counselor | 7506 Church Street, Jenison, MI 49428 | 2007-07-13 |
| 1265578900 | Stephen Mitchael Dadd | Dentist | 657 Baldwin St, Jenison, MI 49428 | 2007-01-29 |
| 1831277136 | Tyler Andrew Wolf | Dentist | 7678 Cottonwood Dr, Jenison, MI 49428 | 2006-11-02 |
| 1497840342 | Bruce A Seitz Dds PC | Dentist | 701 Baldwin, Jenison, MI 49428 | 2006-10-04 |
| 1134221260 | Aaron N Kik | Chiropractor | 7646 20th Ave, Jenison, MI 49428 | 2006-09-01 |
| 1700899135 | Mark Laman Powell | Dentist | 2076 Baldwin Dr, Jenison, MI 49428 | 2006-08-15 |
| Find all providers in zip 49428 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
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| 1003445800 | Dr. Chris Popp, PC | Clinic/Center | 107 Aprill Dr Ste 5, Ann Arbor, MI 48103-1956 | 2020-04-03 |
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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.