RD SENIOR CARE SERVICES PC (NPI# 1336188101) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336188101 |
| Entity Type | Organization |
| Organization Name | RD SENIOR CARE SERVICES PC |
| Practice Address |
1157 Union Lake Rd White Lake MI 48386-4348 |
| Mailing Address |
Po Box 151 Union Lake MI 48387-0151 |
| Practice Telephone | 2483634143 |
| Practice Fax Number | 2483632160 |
| Mailing Telephone | 2483634143 |
| Mailing Fax Number | 2483632160 |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | M MICHELE HEIDENREICH (PRESIDENT) |
| Authorized Official Telephone | 2483634143 |
| Authorized Official Credential | PAC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 2084P0805X |
Psychiatry & Neurology Specialization: Geriatric Psychiatry |
Allopathic & Osteopathic Physicians | ||
| X | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers | ||
| X | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| X | 364SG0600X |
Clinical Nurse Specialist Specialization: Gerontology |
Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBSM | 0F31774 | 01 |
| MI | 4525417 | 05 | |
| MI | 4620793 | 05 | |
| MI | 4832042 | 05 | |
| MI | 4588275 | 05 |
| Street Address |
1157 UNION LAKE RD |
| City | WHITE LAKE |
| State | MI |
| Zip Code | 48386-4348 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447733613 | Michelle A Warr | Occupational Therapist | 10770 Elizabeth Lake, White Lake, MI 48386 | 2018-09-12 |
| 1609368240 | Nerissa Sukarukoff | Speech-Language Pathologist | 9274 Steephollow Drive, White Lake, MI 48386 | 2018-05-30 |
| 1811322464 | Shanita Brumwell | Counselor | 10163 Cedar Island Rd, White Lake, MI 48386 | 2013-09-13 |
| 1518280056 | Mandi Withey | Psychologist | 7784 Pontiac Lake Rd, White Lake, MI 48386 | 2010-03-11 |
| 1619042348 | John Paul Zablocki | Dentist | John P Zablocki Dds, 9178 Highland Rd #3, White Lake, MI 48386 | 2006-11-21 |
| 1659456523 | Mark H Richter | General Practice | 8355 Highland Rd #106, White Lk, MI 48386 | 2006-10-26 |
| 1265554836 | Emily Marie Emerick | Occupational Therapist | 10770 Elizabeth Lake Rd, White Lake, MI 48386 | 2007-04-04 |
| 1306328216 | Christin J Gilbert | Counselor | 2073 Drury Ln, White Lake, MI 48386-1535 | 2018-09-06 |
| 1407020472 | John Walter Beiter | Counselor | 2000 Kingston St, White Lake, MI 48386-1613 | 2008-04-21 |
| 1790133551 | Paula Albright | Registered Nurse | 8941 Pontiac Lake Rd Apt 6, White Lake, MI 48386-1673 | 2016-06-01 |
| Find all providers in zip 48386 | ||||
| Taxonomy Code | 2084P0805X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Geriatric Psychiatry |
| Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598007007 | Maria Il-cha Choe | Psychiatry & Neurology | 3656 Creekside Dr, Ann Arbor, MI 48105-9308 | 2013-03-22 |
| 1154682656 | Geropsych-at-home | Psychiatry & Neurology | 1267 Lone Pine Rd, Bloomfield Hills, MI 48302-2820 | 2012-06-01 |
| 1306143235 | Geropsych Group LLC | Psychiatry & Neurology | 32270 Telegraph Rd Ste 240, Bingham Farms, MI 48025-2457 | 2011-02-11 |
| 1891025870 | Commerce Township Psychiatry,pllc | Psychiatry & Neurology | 6021 Carroll Lake Rd, Commerce Township, MI 48382-3136 | 2010-01-13 |
| 1215158472 | Stephen Michael Aronson | Psychiatry & Neurology | 2020 Hogback Officenter, Ann Arbor, MI 48105 | 2007-05-02 |
| 1841315231 | Soon Kuyn Kim | Psychiatry & Neurology | 29433 Southfield Rd, Suite 201, Southfield, MI 48076-2031 | 2007-03-21 |
| 1114092939 | Paul J Sorgi | Psychiatry & Neurology | 616 Petoskey St Ste 110, Petoskey, MI 49770-2779 | 2006-11-21 |
| 1578580411 | Fernando Castro-urrutia | Psychiatry & Neurology | 259 E Chicago St, Coldwater, MI 49036-2046 | 2006-07-16 |
| 1306224621 | Sarah Myer | Psychiatry & Neurology | 5500 Armstrong Rd, Battle Creek, MI 49037-7314 | 2015-05-07 |
| 1306252531 | Advanced Psychiatric Services Pllc | Psychiatry & Neurology | 32905 W 12 Mile Rd, Ste 410, Farmington Hills, MI 48334-3342 | 2014-07-09 |
| Find all providers with the same taxonomy | ||||
| City | WHITE LAKE |
| Zip Code | 48386 |
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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.