LINDA MOUNTZ (NPI# 1508056714) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508056714 |
| Entity Type | Individual |
| Full Name | LINDA MOUNTZ |
| Practice Address |
1420 University Ave Flint MI 48504-6208 |
| Mailing Address |
Po Box 548 Memphis MI 48041-0548 |
| Practice Telephone | 8103881200 |
| Mailing Telephone | 8103881200 |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2017-03-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
6301014586 | MI | Behavioral Health & Social Service Providers |
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers |
| Street Address |
1420 UNIVERSITY AVE |
| City | FLINT |
| State | MI |
| Zip Code | 48504-6208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215544770 | Teresa Evalyn Knox-gibbs | Case Manager/Care Coordinator | 1420 University Ave, Flint, MI 48504-6208 | 2020-09-29 |
| 1073149415 | Jaquitta La'shon Mcfadden | Case Manager/Care Coordinator | 1420 University Ave, Flint, MI 48504-6208 | 2020-03-17 |
| 1386288967 | Eric Warren-james Thompson | Behavior Technician | 1420 University Ave, Flint, MI 48504-6208 | 2019-11-06 |
| 1669013397 | Asprea S Griffin | Behavior Technician | 1420 University Ave, Flint, MI 48504-6208 | 2019-10-03 |
| 1093376352 | Monica Lariviere | Behavior Technician | 1420 University Ave, Flint, MI 48504-6208 | 2019-06-26 |
| 1851867857 | Peggy Brotzke | Behavior Technician | 1420 University Ave, Flint, MI 48504-6208 | 2018-10-17 |
| 1992212336 | Tyler Denee Brewer | Counselor | 1420 University Ave, Flint, MI 48504-6208 | 2018-01-08 |
| 1891147195 | Megan Metcalf | Counselor | 1420 University Ave, Flint, MI 48504-6208 | 2016-07-11 |
| 1003299363 | Jessica Knopp | Social Worker | 1420 University Ave, Flint, MI 48504 | 2015-07-06 |
| 1053709626 | Julie Doyle | Social Worker | 1420 University Ave, Flint, MI 48504-6208 | 2015-01-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750935326 | St. Luke N.e.w. Life Center, Inc. | Optometrist | 3115 Lawndale Ave., Flint, MI 48504 | 2019-07-31 |
| 1235797259 | Saarah Amuthan | Dentist | 2051 West Pierson Road, Dental Dreams, Units B-d, Flint, MI 48504 | 2019-06-04 |
| 1639653413 | Chad Warren Montague | Social Worker | 1420 West University Ave, Flint, MI 48504 | 2018-09-18 |
| 1235628744 | Houda Ghassani | Dentist | 2501 W Pierson Rd # Unitsb-d, Flint, MI 48504 | 2018-05-09 |
| 1982108551 | Dawn Michelle Conklin | Physical Therapist | 1069 N Ballenger Hwy, Flint, MI 48504 | 2018-03-20 |
| 1699295204 | Stephen Thomas Holt | Dentist | 2501 West Pierson Road, Units B-d, Flint, MI 48504 | 2017-06-23 |
| 1841601739 | Charles Davis | Pharmacist | 4333 W. Pierson Rd. G, Flint, MI 48504 | 2014-05-13 |
| 1609151109 | All American Pharmacy LLC | Pharmacy | 3104-3106 Flushing Rd, Flint, MI 48504 | 2011-10-15 |
| 1972814143 | Ballenger Pharmacy Center | Pharmacy | 1073 N Ballenger Hwy, Flint Twp, MI 48504 | 2010-06-23 |
| 1932357837 | Katherine Ann Kogelmann | Social Worker | 1420 W. University, Flint, MI 48504 | 2008-09-04 |
| Find all providers in zip 48504 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598308348 | Ashley Sisco | Technician | 2006 W Mcclellan St, Flint, MI 48504-2521 | 2019-10-24 |
| 1215413554 | Susan Rose Frazier | Technician | 1110 Eldon Baker Dr, Flint, MI 48507-1923 | 2018-07-18 |
| 1639655285 | Vickie Clouse | Technician | 1110 Eldon Baker Dr, Flint, MI 48507-1923 | 2018-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164021028 | Jaharie Green | Technician | 235 Arbor Glen Dr, East Lansing, MI 48823-8459 | 2020-10-21 |
| 1265030555 | Lauren Alexa Remijan | Technician | 18250 Queensbury Dr, Livonia, MI 48152-3946 | 2020-10-09 |
| 1346857067 | Nicholas Luke Roman | Technician | 10452 Lodge Dr, Allendale, MI 49401-9395 | 2020-09-27 |
| 1346856242 | Marissa Jean Brandly | Technician | 768 W Castlebury Cir, Saline, MI 48176-1348 | 2020-09-17 |
| 1962016030 | Stephanie Pertchi | Technician | 10745 48th Ave Unit Q3, Allendale, MI 49401-8127 | 2020-09-04 |
| 1356954705 | Mckenna Shank | Technician | 1409 E Beltline Ave Se, Grand Rapids, MI 49506 | 2020-08-26 |
| 1477166924 | Whispering Pines 2 | Technician | 1878 Soules Rd, Afton, MI 49705-9717 | 2020-08-25 |
| 1659983062 | Serena Selwyn | Technician | 2024 Edgewood Ave Se, Grand Rapids, MI 49546-5718 | 2020-08-18 |
| 1780293043 | Alyn Kristin Kay | Technician | Hope Network-hope's Door Cru, 3699 Miles Rd., Jackson, MI 49201 | 2020-07-23 |
| 1285242420 | Anna Therese Pignone | Technician | 918 E Grand River Ave Apt 718, East Lansing, MI 48823-4597 | 2020-07-14 |
| Find all providers with the same taxonomy | ||||
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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.