DR. CORBIN S. IRELAN (NPI# 1386634509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386634509 |
| Entity Type | Individual |
| Full Name | DR. CORBIN S. IRELAN |
| Credential | PH.D. |
| Practice Address |
181 W Michigan Ave Suite 3 Paw Paw MI 49079-1432 |
| Practice Telephone | 2696576025 |
| Practice Fax Number | 2696575198 |
| Mailing Telephone | 2696576025 |
| Mailing Fax Number | 2696575198 |
| Enumeration Date | 2005-10-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
6301012741 | MI | Behavioral Health & Social Service Providers |
| Street Address |
181 W MICHIGAN AVE SUITE 3 |
| City | PAW PAW |
| State | MI |
| Zip Code | 49079-1432 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013905959 | Laurie Cone French | Social Worker | 181 W Michigan Ave, Suite 3, Paw Paw, MI 49079-1432 | 2005-10-13 |
| 1811353717 | Scott Banghart | Counselor | 181 W Michigan Ave, Suite 3, Paw Paw, MI 49079-1432 | 2016-01-07 |
| 1841672813 | Julie Mckinstry Waldron | Psychologist | 181 W Michigan Ave, Suite 3, Paw Paw, MI 49079-1432 | 2015-06-25 |
| 1346526779 | Aaron Bronsink | Counselor | 181 W Michigan Ave, Suite 2, Paw Paw, MI 49079-1432 | 2011-10-31 |
| 1619022027 | Mapleview Consultation Center PC | Psychologist | 181 W Michigan Ave, Suite 3, Paw Paw, MI 49079-1432 | 2007-01-24 |
| 1437229036 | Associated Therapy Consultants PC | Social Worker | 181 W Michigan Ave, Suite #2, Paw Paw, MI 49079-1432 | 2006-11-09 |
| 1710082243 | Tracy Lynn Wilson | Counselor | 181 W Michigan Ave, Suite 3, Paw Paw, MI 49079-1432 | 2006-09-13 |
| 1588654396 | Joyce Evalynne Tamer | Counselor | 181 W Michigan Ave, Suite #3, Paw Paw, MI 49079-1432 | 2005-10-24 |
| 1821087784 | Roderick Lynn Johnson | Psychologist | 181 W Michigan Ave, Suite #3, Paw Paw, MI 49079-1432 | 2005-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700359387 | Elizabeth Ann Heskett | Social Worker | Bronson Lakeview Family Care, 451 Health Parkway, Suite B, Paw Paw, MI 49079 | 2019-01-07 |
| 1346775269 | Timothy Adli Kanaan | Counselor | 816 E Michigan Ave Ste 103, Paw Paw, MI 49079 | 2017-04-28 |
| 1558655464 | Tamayi Bwititi | Family Medicine | 451 Health Pkwy Ste G, Paw Paw, MI 49079 | 2011-06-08 |
| 1942401047 | Jenny Adina Grunberg | Dentist | 54055 County Rd 653, Paw Paw, MI 49079 | 2007-05-29 |
| 1912058918 | David James Potts | Psychologist | 181 West Michigan Ave Suite 3, Mapleview Consultation Center P.c, Paw Paw, MI 49079 | 2007-01-16 |
| 1760438378 | Starhealth Multi-specialty Group, P.C. Pharmacy | Pharmacist | 451 Health Parkway, Paw Paw, MI 49079 | 2006-05-25 |
| 1528029568 | Jayantilal J Bathani | Pediatrics | 505 Hazen St, Ste 203, Paw Paw, MI 49079 | 2006-03-29 |
| 1548231202 | Gregory Cassidy | Physician Assistant | 125 N Kalamazoo St, #82, Paw Paw, MI 49079 | 2006-01-31 |
| 1649782418 | Amber Bemis | Occupational Therapy Assistant | 801 Hazen Street, Suite C, Paw Paw, MI 49079 | 2017-11-01 |
| 1073047122 | Theresa Arnold | Social Worker | 181 W Michigan Ave Ste 3, Paw Paw, MI 49079 | 2017-04-15 |
| Find all providers in zip 49079 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912058918 | David James Potts | Psychologist | 181 West Michigan Ave Suite 3, Mapleview Consultation Center P.c, Paw Paw, MI 49079 | 2007-01-16 |
| 1639313174 | Bronson Lakeview Hospital | Psychologist | 404 Hazen St, Suite L3, Paw Paw, MI 49079-1040 | 2009-04-28 |
| 1427032861 | Susan Marie Carter | Psychologist | 304 W Michigan Ave, Paw Paw, MI 49079-1012 | 2005-11-30 |
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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.