SHIRLEY GOODLOCK (NPI# 1316320039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316320039 |
| Entity Type | Organization |
| Organization Name | SHIRLEY GOODLOCK |
| Practice Address |
3091 E. Carleton Rd Adrian MI 49221 |
| Practice Telephone | 7348458901 |
| Mailing Telephone | 7348458901 |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2015-06-30 |
| Authorized Official Name | SHIRLEY ANN GOODLOCK (SIS ASSESSOR) |
| Authorized Official Telephone | 7348458901 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
3091 E. CARLETON RD |
| City | ADRIAN |
| State | MI |
| Zip Code | 49221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285116723 | Sandra Ann Harsh | Occupational Therapist | Total Rehab, 1136 Country Club, Adrian, MI 49221 | 2018-08-31 |
| 1588156178 | Chelsea Varney | Social Worker | 1040 Winter Street, Adrian, MI 49221 | 2018-05-31 |
| 1669974127 | Nicoletta Mary Bruno | Physical Therapy Assistant | 700 Lakeshire Trail, Adrian, MI 49221 | 2018-03-01 |
| 1871011403 | Evan Splan | Pharmacist | 1200 South Main St Suite A, Adrian, MI 49221 | 2017-09-04 |
| 1780104992 | Daniel Malcolm | Specialist/Technologist | 1325 Williams St., Adrian, MI 49221 | 2017-06-20 |
| 1639602881 | Robert Gargol | Pharmacist | 1535 W Maumee, Adrian, MI 49221 | 2017-04-05 |
| 1487196416 | Painless Dentistry V | Dentist | 160 N. Winter St., Adrian, MI 49221 | 2016-11-08 |
| 1487025227 | Michelle Lynn Ranta | Speech-Language Pathologist | 730 Kimole Ln., Adrian, MI 49221 | 2015-10-19 |
| 1376929109 | James Hamblin | Technician, Other | 1100 South Main St. Lot 139, Adrian, MI 49221 | 2015-08-04 |
| 1871984955 | Andrea Poma | Nurse Practitioner | 2727 E. Beecher, Rtp 4, Adrian, MI 49221 | 2015-02-11 |
| Find all providers in zip 49221 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033530423 | Domestic Violence Alternative Program Lc | Community/Behavioral Health | 131 S Winter St, Adrian, MI 49221-2602 | 2014-01-02 |
| 1548490600 | Recovery Lifestyles Inc | Community/Behavioral Health | 216 Division St, Adrian, MI 49221-2911 | 2009-07-22 |
| 1063697290 | Goodwill Industries of Southeastern Michigan, Inc. | Community/Behavioral Health | 600 E Beecher St, Adrian, MI 49221-3907 | 2008-01-07 |
| 1134301005 | Behavior Educators Inc | Community/Behavioral Health | 623 N Broad St, Adrian, MI 49221-2131 | 2007-12-03 |
| 1568970085 | Alegre Adult Day and Vocational Center LLC | Community/Behavioral Health | 5 E Main St, Adrian, GA 31002-4024 | 2018-01-18 |
| 1619413929 | Catholic Charities | Community/Behavioral Health | 199 N Broad St, Adrian, MI 49221-2762 | 2017-01-10 |
| 1972053809 | Positive Solutions Counseling | Community/Behavioral Health | 142 E Maumee St, Ste 7, Adrian, MI 49221-2735 | 2016-10-04 |
| 1396142741 | Fostering Solutions | Community/Behavioral Health | 131 S Winter St, Suite A, Adrian, MI 49221-2602 | 2014-12-01 |
| 1912227570 | Lenawee Community Mental Health Authority | Community/Behavioral Health | 1040 S Winter St, Suite #1022, Adrian, MI 49221-3876 | 2010-06-07 |
| 1124289806 | Theethaye L. Ittiara, M.d., P.C. | Community/Behavioral Health | 142 E Maumee St, Adrian, MI 49221-2735 | 2008-06-24 |
| Find all providers in ADRIAN | ||||
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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.