MATERNAL INFANT HEALTH PROGRAM (NPI# 1316134976) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316134976 |
| Entity Type | Organization |
| Organization Name | MATERNAL INFANT HEALTH PROGRAM |
| Practice Address |
117 W Paterson St Kalamazoo MI 49007-2557 |
| Practice Telephone | 2693492641 |
| Mailing Telephone | 2693492641 |
| Enumeration Date | 2007-09-27 |
| Last Update Date | 2017-09-13 |
| Authorized Official Name | MR. MOSES L WALKER (INTERIM CEO/PRESIDENT) |
| Authorized Official Telephone | 2693492641 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers | ||
| Y | 171M00000X | Case Manager/Care Coordinator | 430063404 | MI | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4784295 | 05 |
| Street Address |
117 W PATERSON ST |
| City | KALAMAZOO |
| State | MI |
| Zip Code | 49007-2557 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790755270 | Steven M Pollens | Family Medicine | 117 W Paterson St, Kalamazoo, MI 49007-2557 | 2006-01-25 |
| 1639782618 | Nathalie Peterson | Occupational Therapist | 117 W Paterson St, Kalamazoo, MI 49007-2557 | 2020-08-28 |
| 1972111060 | Susan Michelle Pickett | Dental Hygienist | 117 W Paterson St, Kalamazoo, MI 49007-2557 | 2020-07-15 |
| 1265076798 | Ellen Mbungu | Social Worker | 117 W Paterson St, Kalamazoo, MI 49007-2557 | 2019-10-28 |
| 1578105334 | Prabhjot Grewal | Nurse Practitioner | 117 W Paterson St, Kalamazoo, MI 49007-2581 | 2019-10-14 |
| 1588219166 | Lindsey Rose Thelen | Social Worker | 117 W Paterson St, Kalamazoo, MI 49007-2581 | 2019-08-09 |
| 1093369571 | Savahna Nicole Mason | Social Worker | 117 W Paterson St, Kalamazoo, MI 49007-2581 | 2019-08-01 |
| 1548813181 | Rebecca Dodson | Dental Hygienist | 117 W Paterson St, Kalamazoo, MI 49007-2557 | 2019-07-23 |
| 1467010470 | Mary Catherine Rose | Social Worker | 117 W Paterson St, Kalamazoo, MI 49007-2557 | 2019-06-04 |
| 1053977637 | Mosab Aziz | Occupational Therapist | 117 W Paterson St, Kalamazoo, MI 49007-2581 | 2019-05-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881248342 | Whitney Kiel | Pharmacist | 601 John Street Suite M-020, Kalamazoo, MI 49007 | 2019-08-01 |
| 1316591571 | Laura Jedele | Physical Therapist | Bronson Healthcare Group, 601 John St, Kalamazoo, MI 49007 | 2019-07-26 |
| 1992209084 | Yvonne Marie Heltzel | Behavior Technician | 1826 N Rose St, Kalamazoo, MI 49007 | 2018-03-22 |
| 1396263943 | Travis Todd Turrell | Physician Assistant | 125 S Kalamazoo Mall Suite 204, Kalamazoo, MI 49007 | 2017-09-05 |
| 1619493186 | Sarah Zuspann | Nurse Practitioner | 601 John Street, Suite 100, Kalamazoo, MI 49007 | 2017-08-16 |
| 1720529779 | Dannison | Psychologist | 604 S Rose St, Kalamazoo, MI 49007 | 2017-03-10 |
| 1265988901 | Calee Dieleman | Social Worker | 610 South Burdick, Kalamazoo, MI 49007 | 2016-09-01 |
| 1508313099 | Arriel Julia Ampey | Social Worker | 414 S. Burdick St., Suite 200, Kalamazoo, MI 49007 | 2016-09-01 |
| 1043662745 | Holloway Marston | Psychologist | 717 W South St, Apt. #6, Kalamazoo, MI 49007 | 2016-07-06 |
| 1205280062 | Bronson At Home | Home Health | 601 John St Ste M-431, Kalamazoo, MI 49007 | 2016-04-19 |
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| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881044279 | Ann Reilly | Case Manager/Care Coordinator | 4711 Dover Hills Dr Apt 203, Kalamazoo, MI 49009-1460 | 2016-06-15 |
| 1710590187 | Haley Elizabeth Zimmer | Case Manager/Care Coordinator | 2615 Stadium Dr, Kalamazoo, MI 49008-1654 | 2020-08-26 |
| 1003371907 | Travis B Guerrero | Case Manager/Care Coordinator | 2615 Stadium Dr, Kalamazoo, MI 49008-1654 | 2019-02-05 |
| 1639680218 | Ali Schwoebel | Case Manager/Care Coordinator | 2615 Stadium Dr, Kalamazoo, MI 49008-1654 | 2017-10-23 |
| 1740722784 | Felicia Smith | Case Manager/Care Coordinator | 401 Howard St, Kalamazoo, MI 49001-2748 | 2016-11-08 |
| 1912301698 | Sarah Fry | Case Manager/Care Coordinator | 3299 Gull Rd, Kalamazoo, MI 49048-1281 | 2014-10-09 |
| 1104177500 | Mark Anthony Magin | Case Manager/Care Coordinator | 414 S Burdick St, Ste. 200, Kalamazoo, MI 49007-6219 | 2012-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447851670 | Kendall Brocavich | Case Manager/Care Coordinator | 397 Blunk St, Plymouth, MI 48170-3752 | 2020-11-04 |
| 1932700242 | Best Choice Health Services, LLC | Case Manager/Care Coordinator | 19300 Greenfield Rd Ste C, Detroit, MI 48235-2003 | 2020-11-03 |
| 1871193557 | Pierce Reynolds | Case Manager/Care Coordinator | 160 E Cambourne St, Ferndale, MI 48220-1310 | 2020-10-30 |
| 1588262331 | Emmarose Malone Dwyer | Case Manager/Care Coordinator | 3843 Thomas Rd, Oxford, MI 48371-1556 | 2020-10-14 |
| 1861090953 | Jordan Johnson | Case Manager/Care Coordinator | 19710 Cherry Hill St, Southfield, MI 48076-1061 | 2020-10-12 |
| 1871191957 | Katrina M Dicesare | Case Manager/Care Coordinator | 39340 Medallion Ct Apt 7103, Farmington Hills, MI 48331-4913 | 2020-10-12 |
| 1144837618 | Lisa Glover | Case Manager/Care Coordinator | 1977 Radcliff Ave Se, Grand Rapids, MI 49506-5140 | 2020-09-28 |
| 1891301347 | Cierra C Coward | Case Manager/Care Coordinator | 20752 Camden Sq Apt 205, Southfield, MI 48076-3824 | 2020-09-21 |
| 1245845791 | Amanda Evanoff | Case Manager/Care Coordinator | 4619 Jerome Rd, Clarkston, MI 48346-3735 | 2020-09-11 |
| 1326653122 | Malika Triplett | Case Manager/Care Coordinator | 3002 Meisner Ave, Flint, MI 48506-2434 | 2020-09-09 |
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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.