MARK BRIAN BEATHARD (NPI# 1336677533) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336677533 |
| Entity Type | Individual |
| Full Name | MARK BRIAN BEATHARD |
| Practice Address |
8623 N. Wayne Road, Suite 310 Adult Outpatient Services for Smi Westland MI 48185 |
| Mailing Address |
P. O. Box 79 Lincoln Park MI 48146 |
| Practice Telephone | 7344250636 |
| Mailing Telephone | 3134547175 |
| Enumeration Date | 2017-06-01 |
| Last Update Date | 2017-06-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
B363585098663 | MI | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
8623 N. WAYNE ROAD, SUITE 310 ADULT OUTPATIENT SERVICES FOR SMI |
| City | WESTLAND |
| State | MI |
| Zip Code | 48185 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457821084 | Kimberly L Traver | Nurse Practitioner | 6149 N. Wayne Road, Westland, MI 48185 | 2018-11-27 |
| 1710456421 | Infinity Physical Therapy | Occupational Therapy Assistant | 36413 Warren Road, Westland, MI 48185 | 2018-11-26 |
| 1770071391 | Woodcrest Rx LLC. | Pharmacy | 8301 North Wayne Rd., Westland, MI 48185 | 2018-04-30 |
| 1922522952 | Regina Amadi | Pharmacist | 30785 Ann Arbor Trail, Westland, MI 48185 | 2017-08-01 |
| 1811417637 | Jacob Davis Adams | Specialist/Technologist | 34610 Parkgrove, Westland, MI 48185 | 2017-06-22 |
| 1164965240 | Murray Dalton | Social Worker | 8623 N. Wayne Rd, Suite 310, Westland, MI 48185 | 2016-11-22 |
| 1962953505 | Krishaun Harris | Technician, Other | 8181 N.wayne Rd, Apt.2131, Westland, MI 48185 | 2016-10-19 |
| 1417408089 | Joseph E Silver Dpm PC | Podiatrist | 35337 W Warren Ave, Westland, MI 48185 | 2016-10-19 |
| 1043769813 | Joy Hix Pharmacy LLC | Pharmacy | 38409 Joy Rd, Westland, MI 48185 | 2016-09-22 |
| 1124481866 | Wanda Louise Lewis | Counselor | 8623 W. Wayne Rd., Suite 123, Westland, MI 48185 | 2016-03-31 |
| Find all providers in zip 48185 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275991440 | Robie Mcqueen | Counselor | 2661 Stieber St, Westland, MI 48186 | 2016-02-03 |
| 1407259625 | Steven Kenneth Weiss | Counselor | 31017 Warren Rd, Bldg. 4 Apt. 73, Westland, MI 48185-9495 | 2014-10-01 |
| 1437493012 | Ginger Renee Bradfield Clarke | Counselor | 29840 Marshall Dr, Westland, MI 48186-7361 | 2012-11-20 |
| 1215087846 | Renee Ann Turnbell I | Counselor | 613 Dartmouth Crescent Ct, Westland, MI 48185-3449 | 2007-01-12 |
| 1134229693 | Sally N. Borden | Counselor | 8623 North Wayne Road, Ste. 310, Westland, MI 48185 | 2006-09-25 |
| 1033743091 | Bruce M Johnson | Counselor | 32715 Dorsey St, Westland, MI 48186-4755 | 2020-02-28 |
| 1447762273 | Peyton Elizabeth Killop | Counselor | 32715 Dorsey St, Westland, MI 48186-4755 | 2017-11-02 |
| 1205377900 | Pam Soyk | Counselor | 32715 Dorsey St, Westland, MI 48186-4755 | 2017-03-14 |
| 1154867463 | Nicholas Ochal | Counselor | 32715 Dorsey St, Westland, MI 48186-4755 | 2017-01-10 |
| 1205289295 | Sandra Walker | Counselor | 32715 Dorsey St, Westland, MI 48186-4755 | 2016-07-14 |
| Find all providers in WESTLAND | ||||
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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.