RIVER WAY PSYCHOLOGICAL SERVICES (NPI# 1407494982) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407494982 |
| Entity Type | Organization |
| Organization Name | RIVER WAY PSYCHOLOGICAL SERVICES |
| Practice Address |
975 Spaulding Ave Se Ste D Ada MI 49301-3776 |
| Mailing Address |
Po Box 213 Grandville MI 49468-0213 |
| Practice Telephone | 2318812416 |
| Mailing Telephone | 2318812416 |
| Enumeration Date | 2019-12-16 |
| Last Update Date | 2020-02-06 |
| Authorized Official Name | CHERYL ELAINE SAMUELS (OWNER) |
| Authorized Official Telephone | 2318812416 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Street Address |
975 SPAULDING AVE SE STE D |
| City | ADA |
| State | MI |
| Zip Code | 49301-3776 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205042827 | Cheryl E Samuels | Psychologist | 975 Spaulding Ave Se Ste D, Ada, MI 49301-3776 | 2007-05-14 |
| 1649732116 | New Revelation Counseling Service LLC | Community/Behavioral Health | 975 Spaulding Ave Se Ste D, Ada, MI 49301-3776 | 2019-04-03 |
| 1609292333 | Michael Robert Richman | Counselor | 975 Spaulding Ave Se Ste D, Ada, MI 49301-3776 | 2014-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326608720 | Mary Zuidema Lmsw LLC | Social Worker | 938 Spaulding Ave Se, Ada, MI 49301 | 2019-06-18 |
| 1689115040 | Bright Life Therapies LLC | Physical Therapist | 7690 Candlewood Dr, Ada, MI 49301 | 2017-03-17 |
| 1639425747 | Gary W Watson | Social Worker | 975 Spaulding Ave Ste D., Ada, MI 49301 | 2012-07-25 |
| 1821361353 | Paul George Theodore | Obstetrics & Gynecology | 660 South Whitman Ct. Se (retired), Ada, MI 49301 | 2012-02-14 |
| 1265768097 | Mary Kathryn Bennett | Social Worker | 983 Spaulding Ave. S.e., Ada, MI 49301 | 2009-10-29 |
| 1770739997 | Sheila R. Mccormack | Psychologist | 983 Spaulding St., Se, Ada, MI 49301 | 2008-08-08 |
| 1932321593 | Allison Leigh Stevens | Psychologist | 4670 E Fulton Ave Se, Suite 101, Ada, MI 49301 | 2007-05-03 |
| 1750434239 | Sarah J Ash | Registered Nurse | 983 Spaulding Office Annex, Ada, MI 49301 | 2007-01-19 |
| 1396756326 | Christine Marie Olree | Clinical Nurse Specialist | 200 Jefferson, Saint Marys Healthcare, Grand Rapids, MI 49301 | 2006-08-11 |
| 1174548606 | Kurt E Schabes | Dentist | 7210 Headley Se, Ada, MI 49301 | 2006-07-13 |
| Find all providers in zip 49301 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922247162 | Daniel K. Ehnis, PC | Psychologist | 4670 E. Fulton, Suite 101, Ada, MI 49301-8409 | 2009-02-11 |
| 1336335314 | Southern Oklahoma Psychological Associates Inc. | Psychologist | 422 S Highland St, Ada, OK 74820-6949 | 2007-09-24 |
| 1205042827 | Cheryl E Samuels | Psychologist | 975 Spaulding Ave Se Ste D, Ada, MI 49301-3776 | 2007-05-14 |
| 1174623789 | Jerry N. Duncan | Psychologist | 119 N Broadway Ave, Suite 104, Ada, OK 74820-5049 | 2006-09-24 |
| 1063405769 | Billy Joe Boyd IIi | Psychologist | 1300 Hoppe Blvd Outpatient Services-ada, Suite 6 Strong Family Development, Ada, OK 74820 | 2005-08-26 |
| 1407392129 | Cynthia Joyce Kok | Psychologist | 983 Spaulding Ave Se, Ada, MI 49301-3701 | 2017-01-19 |
| 1568714863 | Robert Labadie Funaro | Psychologist | 967 Spaulding Ave Se, Suite E, Ada, MI 49301-3700 | 2012-10-10 |
| 1194088377 | Kjc323pllc | Psychologist | 967 Spaulding Ave Se, Suite E, Ada, MI 49301-3700 | 2012-06-21 |
| 1518153626 | Association of Christian Therapists, Inc. | Psychologist | 119 N Broadway, Suite 104, Ada, OK 74820 | 2007-09-21 |
| 1083765812 | Kathleen Jandernoa Cramer | Psychologist | 967 Spaulding Ave Se, Ada, MI 49301-3700 | 2007-01-16 |
| Find all providers in ADA | ||||
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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.