SHANDA BERDAN (NPI# 1407252133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407252133 |
| Entity Type | Individual |
| Full Name | SHANDA BERDAN |
| Practice Address |
337 E Houghton Ave Clinic A West Branch MI 48661-1127 |
| Mailing Address |
Po Box 325 216 Hebestreit St. Rose City MI 48654-0325 |
| Practice Telephone | 9897015836 |
| Practice Fax Number | 9896858363 |
| Mailing Telephone | 9897015836 |
| Mailing Fax Number | 9896858363 |
| Enumeration Date | 2014-11-06 |
| Last Update Date | 2014-11-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
6401013102 | MI | Behavioral Health & Social Service Providers |
| Street Address |
337 E HOUGHTON AVE CLINIC A |
| City | WEST BRANCH |
| State | MI |
| Zip Code | 48661-1127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861415796 | Mclaren Primary Care | Family Medicine | 337 E Houghton Ave, West Branch, MI 48661-1127 | 2006-07-25 |
| 1922658624 | Northern Counseling Association Pllc | Counselor | 337 E Houghton Ave, West Branch, MI 48661-1127 | 2019-09-13 |
| 1164826574 | Shanda Berdan Counseling Services | Community/Behavioral Health | 337 E Houghton Ave, Clinic A, Rm 5, West Branch, MI 48661-1127 | 2014-10-14 |
| 1366872723 | Tamara Parsons | Counselor | 337 E Houghton Ave, Clinic A, West Branch, MI 48661-1127 | 2013-11-22 |
| 1720369671 | Mclaren Bay Region | Internal Medicine | 337 E Houghton Ave, West Branch, MI 48661 | 2011-09-06 |
| 1992083539 | Multiple Sclerosis Centre of Michigan Plc | Neurological Surgery | 337 E Houghton Ave, Suite D, West Branch, MI 48661-1127 | 2011-08-01 |
| 1770899551 | Kimberly K Provoast | Physician Assistant | 337 E Houghton Ave, West Branch, MI 48661-1127 | 2010-08-31 |
| 1831251982 | Northern Phototherapy Management Facility LLC | Internal Medicine | 337 E Houghton Ave, Suite 3, West Branch, MI 48661-1127 | 2006-12-15 |
| 1912085564 | Cheryl Miller | Nurse Practitioner | 337 E Houghton Ave, West Branch, MI 48661-1127 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992226773 | Linda Loou Thopmson | Registered Nurse | 335 E. Houghton Ave., West Branch, MI 48661 | 2017-06-30 |
| 1831559103 | Lisa J. Gutierrez | Counselor | 105 N. 3rd St., Ste 6, West Branch, MI 48661 | 2016-03-01 |
| 1497185383 | Linda Joy Latulip | Social Worker | 445 S. Valley, West Branch, MI 48661 | 2013-11-14 |
| 1376973289 | Patricia Woelke | Occupational Therapist | 335 East Houghton, West Branch, MI 48661 | 2013-11-14 |
| 1760731012 | Lucas John Wyzlic | Physician Assistant | 621 Court Street, Suite 104, West Branch, MI 48661 | 2012-08-31 |
| 1225312234 | Mark Bedtelyon | Pharmacist | 2480 E Houghton Ave, West Branch, MI 48661 | 2011-10-10 |
| 1790016632 | Stephanie M Witte-mason | Chiropractor | 2333 S M 76, West Branch, MI 48661 | 2010-01-15 |
| 1578798997 | Michael Robert Munger | Dietitian, Registered | 2897 Amanda Ct., West Branch, MI 48661 | 2009-05-29 |
| 1124261516 | Sarah C. Bryce | Pharmacist | 501 E. Houghton Ave, West Branch, MI 48661 | 2009-04-14 |
| 1528208303 | Richard K Braidwood | Pharmacist | 2206 S. M-76, West Branch, MI 48661 | 2009-03-06 |
| Find all providers in zip 48661 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922453927 | Colette Ren Spirdione | Counselor | 1841 N Ogemaw Trl, West Branch, MI 48661-9720 | 2016-04-27 |
| 1922658624 | Northern Counseling Association Pllc | Counselor | 337 E Houghton Ave, West Branch, MI 48661-1127 | 2019-09-13 |
| 1245621853 | Kristine Goodroe | Counselor | 335 E Houghton Ave, West Branch, MI 48661-1127 | 2015-02-18 |
| 1366872723 | Tamara Parsons | Counselor | 337 E Houghton Ave, Clinic A, West Branch, MI 48661-1127 | 2013-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669073367 | Lisa Joanne Lindemann | Counselor | 764 Basswood Dr, Rochester Hills, MI 48309-1713 | 2020-11-08 |
| 1891396891 | Sonda Lasha Thomas | Counselor | 38 W Henry St, River Rouge, MI 48218-1359 | 2020-11-05 |
| 1700487931 | Cjt Solutions | Counselor | 351 Coventry Ln, Mason, MI 48854-1162 | 2020-11-04 |
| 1356942932 | Ann Marie Mcpherson | Counselor | 25551 Pine View Ave, Warren, MI 48091-3888 | 2020-11-02 |
| 1265032148 | Ashley Capaldi | Counselor | 8500 Oak Park Blvd, Oak Park, MI 48237-1848 | 2020-10-29 |
| 1538769542 | Sherie Justine Posie | Counselor | 16000 W 9 Mile Rd Ste 115, Southfield, MI 48075-4800 | 2020-10-28 |
| 1477152445 | True North Holistic Health and Wellness, LLC | Counselor | 5472 Belsay Rd, Grand Blanc, MI 48439-9129 | 2020-10-21 |
| 1881293819 | Breakthrough L.L.C. | Counselor | 38847 Parkview Dr, Clinton Twp, MI 48036-3826 | 2020-10-21 |
| 1790384998 | Amanda Nicole Lambert | Counselor | 1919 Gratiot Ave, Saginaw, MI 48602-2763 | 2020-10-20 |
| 1285233437 | Emmitt Melvin Davis Jr. | Counselor | 316 Morris Ave Ste 200, Muskegon, MI 49440-1154 | 2020-10-20 |
| Find all providers with the same taxonomy | ||||
| City | WEST BRANCH |
| Zip Code | 48661 |
Please comment or provide details below to improve the information on SHANDA BERDAN.
| 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.