CANDACE W ROSS PHD LLC (NPI# 1336682988) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336682988 |
| Entity Type | Organization |
| Organization Name | CANDACE W ROSS PHD LLC |
| Practice Address |
900 Peeler St Kalamazoo MI 49008-2300 |
| Practice Telephone | 2695018537 |
| Practice Fax Number | 2694926473 |
| Mailing Telephone | 2695018537 |
| Mailing Fax Number | 2694926473 |
| Enumeration Date | 2016-11-30 |
| Last Update Date | 2016-11-30 |
| Authorized Official Name | MRS. MARY BETH HOUPT (BILLING/CREDENTIALING) |
| Authorized Official Telephone | 5176769788 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
6301015853 | MI | Behavioral Health & Social Service Providers |
| Street Address |
900 PEELER ST |
| City | KALAMAZOO |
| State | MI |
| Zip Code | 49008-2300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699754820 | Mary E Koterba | Nurse Anesthetist, Certified Registered | 900 Peeler St, Kalamazoo, MI 49008-2300 | 2006-01-16 |
| 1659971034 | Ethan John Chupka | Registered Nurse | 900 Peeler St, Kalamazoo, MI 49008-2300 | 2020-10-27 |
| 1396342945 | Janette Gustafson | Registered Nurse | 900 Peeler St, Kalamazoo, MI 49008-2300 | 2020-10-07 |
| 1316544430 | Eric J Johnson | Nurse Anesthetist, Certified Registered | 900 Peeler St, Kalamazoo, MI 49008-2300 | 2020-10-01 |
| 1295341469 | Remi Lynn Brackett | Registered Nurse | 900 Peeler St, Kalamazoo, MI 49008-2300 | 2020-09-22 |
| 1508482910 | Chad William Pitock | Registered Nurse | 900 Peeler St, Kalamazoo, MI 49008-2300 | 2020-06-22 |
| 1871132654 | Timothy Paul Mccoy | Registered Nurse | 900 Peeler St, Kalamazoo, MI 49008-2300 | 2019-12-27 |
| 1578101937 | John Thomas Kallas | Registered Nurse | 900 Peeler St, Kalamazoo, MI 49008-2300 | 2019-12-17 |
| 1558903567 | Frank Andrew Schymik | Nurse Anesthetist, Certified Registered | 900 Peeler St, Kalamazoo, MI 49008-2300 | 2019-10-10 |
| 1639721095 | Andrew Cooper | Nurse Anesthetist, Certified Registered | 900 Peeler St, Kalamazoo, MI 49008-2300 | 2019-07-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144847534 | Theresa Anne Aranda | Pharmacist | 3016 S Westendge Ave, Kalamazoo, MI 49008 | 2020-07-01 |
| 1336615830 | Jonathon Strefling | Physical Therapist | 165 N. Washington Ave, Battle Creek, MI 49008 | 2018-10-23 |
| 1376039826 | Alexander J Hessler I | Pharmacist | 5121 S Westnedge Ave., Kalamazoo, MI 49008 | 2018-07-09 |
| 1700324415 | Philip Richard Granish | Psychologist | 4341 S. Westnedge, Suite 1103, Kalamazoo, MI 49008 | 2017-02-02 |
| 1396195863 | Kyle Bronsteen | Student in an Organized Health Care Education/Training Program | Wmu School of Medicine, 1000 Oakland Drive, Kalamazoo, MI 49008 | 2016-06-15 |
| 1013363449 | Gwendolyn Layette Moore | Home Health Aide | 4441 Old Colony Road, Kalamazoo, MI 49008 | 2016-05-04 |
| 1982008066 | Danah Kim | Dentist | 3130 N Westnedge Ave., Kalamazoo, MI 49008 | 2014-10-17 |
| 1598168874 | Melissa Shields | Physician Assistant | Western Michigan University, 1903 Western Michigan Avenue, Kalamazoo, MI 49008 | 2014-10-01 |
| 1831508548 | D2 Dental of Michigan, P.C. | Dentist | 3130 S Westnedge Avenue, Kalamazoo, MI 49008 | 2014-08-06 |
| 1558784330 | Maureen Brown | Pharmacist | 5121 S. Westnedge Ave, Kalamazoo, MI 49008 | 2014-01-29 |
| Find all providers in zip 49008 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073054359 | Life Launch Counseling, LLC | Psychologist | 3030 S 9th St Ste 3f, Kalamazoo, MI 49009-9456 | 2017-03-20 |
| 1841565413 | Jessica R Hoekstra | Psychologist | 5700 W Michigan Ave, Kalamazoo, MI 49009 | 2012-03-15 |
| 1245516970 | Leatrice Renee Brooks | Psychologist | 5016 Coopers Landing Dr, Apt 3d, Kalamazoo, MI 49004-7647 | 2011-10-26 |
| 1588837736 | Diane M Kanous | Psychologist | 3030 S. 9th St., Suite 3e, Kalamazoo, MI 49009 | 2008-04-09 |
| 1922213370 | Patricia Huston Kamerman | Psychologist | 900 Peeler Street, Kalamazoo, MI 49008 | 2007-05-11 |
| 1437371242 | Linda Sue Williams | Psychologist | 204 Balch Street, Kalamazoo, MI 49001 | 2007-05-02 |
| 1386709483 | Janet Trudee Tarkowski | Psychologist | 4021 W Main St, Suite 100, Kalamazoo, MI 49006-3706 | 2006-12-27 |
| 1083797344 | Kimberly Ann Hiatt | Psychologist | 5340 Holiday Ter Ste 3, Kalamazoo, MI 49009-2196 | 2006-10-23 |
| 1548367493 | Mary Theresa Zirpoli | Psychologist | Child and Family Psychological Services, 5340 Holiday Terrace, Kalamazoo, MI 49009-2196 | 2006-09-20 |
| 1497860092 | William Douglas Brooks | Psychologist | 4415 Duke St, Kalamazoo, MI 49008-3224 | 2006-08-21 |
| Find all providers in KALAMAZOO | ||||
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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.