MICHAEL KIMBALL (NPI# 1316375595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316375595 |
| Entity Type | Individual |
| Full Name | MICHAEL KIMBALL |
| Credential | PSY.S. |
| Practice Address |
705 S Main St Plymouth MI 48170-2089 |
| Mailing Address |
3937 Sylvanwood Dr Sylvania OH 43560-3929 |
| Practice Telephone | 7344543560 |
| Practice Fax Number | 7344543570 |
| Mailing Telephone | 7344543560 |
| Mailing Fax Number | 7344543570 |
| Enumeration Date | 2013-10-24 |
| Last Update Date | 2013-10-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
6301014600 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104329515 | Michael Kimball | Massage Therapist | 944 Elm St Ste 21, Manchester, NH 03101-2020 | 2018-03-12 |
| 1306160338 | Michael J Kimball | Orthopaedic Surgery | 7500 Central Ave, Suite 108, Philadelphia, PA 19111-2430 | 2010-03-19 |
| 1265467096 | Michael W Kimball | Internal Medicine | 64-5188 Kinohou St, Kamuela, HI 96743-8409 | 2006-07-11 |
| 1700838646 | Michael John Kimball | Nurse Practitioner | 2501 Harbor Blvd, Costa Mesa, CA 92626-6143 | 2006-05-17 |
| 1588648653 | Michael Patton Kimball | Specialist | 4130 La Jolla Village Dr, Ste 306, La Jolla, CA 92037-1481 | 2005-12-02 |
| Street Address |
705 S MAIN ST |
| City | PLYMOUTH |
| State | MI |
| Zip Code | 48170-2089 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386198059 | Invitro Genetics, LLC | Clinical Medical Laboratory | 705 S Main St, Plymouth, MI 48170-2089 | 2016-08-10 |
| 1700247962 | Jenelle Mazaris | Marriage & Family Therapist | 705 S Main St, Suite 280, Plymouth, MI 48170-2089 | 2016-03-16 |
| 1730554395 | Breanna Dowis | Physical Therapy Assistant | 705 S Main St, 220, Plymouth, MI 48170-2089 | 2015-12-08 |
| 1881069763 | Hear Better Centers, LLC | Audiologist | 705 S Main St, Suite 205, Plymouth, MI 48170-2089 | 2015-12-03 |
| 1578937793 | Ryan Keeley | Physical Therapy Assistant | 705 S Main St, Suite 220, Plymouth, MI 48170-2089 | 2015-11-27 |
| 1952775876 | Lohitha Dinnipalle | Physical Therapist | 705 S Main St, Suite 220, Plymouth, MI 48170-2089 | 2015-11-16 |
| 1306217849 | Carol Timothy | Occupational Therapy Assistant | 705 S Main St, Suite 220, Plymouth, MI 48170-2089 | 2015-10-09 |
| 1134502644 | Steven Vaculik | Physical Therapist | 705 S Main St, Ste 220, Plymouth, MI 48170-2089 | 2015-07-01 |
| 1124409834 | Zain Shamoon | Marriage & Family Therapist | 705 S Main St, Suite 280, Plymouth, MI 48170-2089 | 2015-06-18 |
| 1508247545 | Carli Paoletti | Occupational Therapist | 705 S Main St, Suite 220, Plymouth, MI 48170-2089 | 2015-06-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720611734 | Brightside Medical of Michigan, P.C. | Psychiatry & Neurology | Telemedicine Services Only / No Physical Office, Telemedicine Services Only / No Physical, MI 48170 | 2020-02-18 |
| 1265075279 | Mast Enterprises | Home Health | 40800 Five Mile Rd Ste C, Plymouth, MI 48170 | 2019-10-22 |
| 1003470964 | Smiley Private Homecare LLC | Technician, Pathology | 1098 Ann Arbor Rd #249, Plymouth, MI 48170 | 2019-04-26 |
| 1275003832 | Atsalis Dental Excellence | Dentist | 690 South Main St, Plymouth, MI 48170 | 2018-11-27 |
| 1275003808 | Danielle Cefalo | Speech-Language Pathologist | 801 W. Ann Arbor Trail Suite 220, Plymouth, MI 48170 | 2018-11-27 |
| 1962987966 | Mindful Wellness Counseling, LLC | Social Worker | 9266 Northern Ave, Plymouth, MI 48170 | 2018-09-26 |
| 1972094027 | Plymouth Urgent Care Walk-in Clinic LLC | Clinic/Center | 1498 S Sheldon Rd, Plymouth, MI 48170 | 2018-05-24 |
| 1356843791 | Polaris Pharmacy Services of Michigan, LLC | Pharmacy | 9131 General Court, Plymouth, MI 48170 | 2018-03-01 |
| 1528569787 | Alcona Citizens for Health Inc | Clinic/Center | 101 S Union St Unit 101, Plymouth, MI 48170 | 2018-02-23 |
| 1073029484 | Holly Ann Haase | Technician/Technologist | 650 Church St, Plymouth, MI 48170 | 2017-12-20 |
| Find all providers in zip 48170 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790264760 | Tasha Leno | Psychologist | 595 Forest Ave Ste 7a, Plymouth, MI 48170-1777 | 2018-08-10 |
| 1679059968 | Life Improved, LLC | Psychologist | 300 Main Street, Suite 200, Plymouth, NH 03264 | 2018-07-19 |
| 1952891038 | Charles Francis Carroll | Psychologist | 17 Alvin Rd, Plymouth, MA 02360-3920 | 2018-05-15 |
| 1861914863 | Steven Schwartz | Psychologist | 12431 Howland Park Dr, Plymouth, MI 48170-2894 | 2017-07-11 |
| 1366827016 | Juliann Knochel | Psychologist | 42325 Ann Arbor Rd E, Plymouth, MI 48170-4356 | 2015-07-23 |
| 1851781959 | Stephen Mangin | Psychologist | 42245 Ann Arbor Rd E Ste 101, Plymouth, MI 48170-4311 | 2015-01-27 |
| 1649683517 | Heather M Delcourt | Psychologist | 595 Forest Ave Ste 11a, Plymouth, MI 48170-1777 | 2014-06-08 |
| 1952730723 | Amanda Michelle Henderson Bills | Psychologist | 199 N Main St Ste 200, Plymouth, MI 48170-1286 | 2013-11-02 |
| 1255779492 | Heather D Haggerty | Psychologist | 340 N Main St Ste 201, Plymouth, MI 48170-1290 | 2013-06-10 |
| 1164705471 | Ruth C. Rowbotham | Psychologist | 225 Water St Ste A115, Plymouth, MA 02360-4060 | 2011-09-22 |
| Find all providers in PLYMOUTH | ||||
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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.