PAUL PHELPS SR. (NPI# 1417140179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417140179 |
| Entity Type | Individual |
| Full Name | PAUL PHELPS SR. |
| Credential | MAR |
| Practice Address |
4200 W Michigan Ave Ste 243 Kalamazoo MI 49006-5840 |
| Mailing Address |
10040 Stadium Dr Kalamazoo MI 49009-9426 |
| Practice Telephone | 2693752833 |
| Practice Fax Number | 2693752838 |
| Mailing Telephone | 2693752833 |
| Mailing Fax Number | 2693752838 |
| Enumeration Date | 2007-08-24 |
| Last Update Date | 2007-08-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
6401004079 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942641170 | Paul C Phelps | Psychologist | 1200 S State St, Suite 1200 1f, Ann Arbor, MI 48109-2203 | 2013-07-16 |
| 1003131657 | Paul Owen Phelps | Ophthalmology | 2050 Pfingsten Rd Ste 280, Glenview, IL 60026-1324 | 2010-04-06 |
| 1730304981 | Paul James Phelps | Dentist | 450 Sutter St, 2314, San Francisco, CA 94108-4206 | 2007-04-14 |
| 1821168931 | Paul Raymond Phelps Sr. | Emergency Medicine | 818 Forsyth Street, Macon, GA 31201-2139 | 2006-11-08 |
| 1518970136 | Paul Galey Phelps | Internal Medicine | 1670 Clairmont Rd, Decatur, GA 30033-4004 | 2006-08-14 |
| 1790793347 | Paul R Phelps | Anesthesiology | 25500 Medical Center Dr, Murrieta, CA 92562-5965 | 2006-08-03 |
| Street Address |
4200 W MICHIGAN AVE STE 243 |
| City | KALAMAZOO |
| State | MI |
| Zip Code | 49006-5840 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013455989 | Lauren Gentry | Counselor | 213 S. Kendall Apt 201, Kalamazoo, MI 49006 | 2017-02-10 |
| 1588055768 | Rashida Al-gharib | Counselor | 10107 Boswell Lane, Kalamazoo, MI 49006 | 2015-02-10 |
| 1174913420 | Teesha Lynn Bancroft | Specialist | 329 S Sage St, Kalamazoo, MI 49006 | 2015-01-26 |
| 1801293493 | Ayaz Jaffer | Pharmacist | 5100 Century Avenue, Kalamazoo, MI 49006 | 2014-11-25 |
| 1609207695 | Karen Irene Zantjer | Occupational Therapist | 2575 N Drake, Tendercare Westwood, Kalamazoo, MI 49006 | 2013-12-02 |
| 1629313614 | Jessica Korneder | Behavioral Analyst | 3621 Kenbrooke Court, Kalamazoo, MI 49006 | 2012-12-03 |
| 1508101635 | Gerald Lamont Brooks | Counselor | 4017 W. Main Suite 100, Kalamazoo, MI 49006 | 2012-11-29 |
| 1932356979 | Joy Ann Mcgrath | Occupational Therapist | 1400 North Drake Road, Friendship Village of Kalamazoo, Kalamazoo, MI 49006 | 2008-08-21 |
| 1306901103 | Frederick G Greaves | Psychologist | 4031 W Main, Kalamazoo, MI 49006 | 2006-12-22 |
| 1629162300 | John F Hemmer | Social Worker | 1530 Nichols Road, Kalamazoo, MI 49006 | 2006-10-03 |
| Find all providers in zip 49006 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659970069 | Jennelle Hines Counseling, Pllc | Counselor | 2511 Lomond Dr, Kalamazoo, MI 49008-2125 | 2020-10-19 |
| 1275151144 | Kalamazoo Cognitive and Behavioral Therapy Pllc | Counselor | 3516 Northfield Trl, Kalamazoo, MI 49009-5899 | 2020-07-08 |
| 1386273225 | Casey Slager | Counselor | 120 Lanark Ct, Kalamazoo, MI 49006-4357 | 2020-04-03 |
| 1104452002 | Susan G Mattice | Counselor | 1030 Campbell Ave, Kalamazoo, MI 49006-3082 | 2020-03-23 |
| 1336774421 | Deanna Thompson | Counselor | 124 Remine St, Kalamazoo, MI 49001-3640 | 2020-03-09 |
| 1073148185 | Cierra L Patrick | Counselor | 4210 S Westnedge Ave, Kalamazoo, MI 49008-3208 | 2020-03-09 |
| 1568004372 | Tiffany Malory | Counselor | 2030 Portage St., Kalamazoo, MI 49001 | 2019-10-14 |
| 1295391829 | Stephanie Hyer | Counselor | 2338 S Rose St, Kalamazoo, MI 49001-3621 | 2019-05-20 |
| 1598264277 | Lance Brandon Bettison | Counselor | 157 S Kalamazoo Mall Ste 250, Kalamazoo, MI 49007-4828 | 2018-02-07 |
| 1013455989 | Lauren Gentry | Counselor | 213 S. Kendall Apt 201, Kalamazoo, MI 49006 | 2017-02-10 |
| 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.