MR. MALCOLM JAMES WILSON JR. (NPI# 1548522899) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548522899 |
| Entity Type | Individual |
| Full Name | MR. MALCOLM JAMES WILSON JR. |
| Credential | M.A. LPC |
| Practice Address |
312 Mclean St Boyne City MI 49712-9444 |
| Practice Telephone | 9896007035 |
| Mailing Telephone | 9896007035 |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2017-11-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750994638 | Malcolm Wilson | Behavior Technician | 2338 W Royal Palm Rd Ste J, Phoenix, AZ 85021-9339 | 2020-08-28 |
| Street Address |
312 MCLEAN ST |
| City | BOYNE CITY |
| State | MI |
| Zip Code | 49712-9444 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447760319 | Pyramid of Hope Counseling, LLC | Counselor | 5 W. Main Street, Unit #3, Boyne City, MI 49712 | 2017-10-05 |
| 1992115679 | Rebecca L Dionne | Counselor | 101 River Street, Suite 100, Boyne City, MI 49712 | 2014-05-02 |
| 1255516597 | James Edward Straley | Dentist | 202 North Lake Street, Boyne City, MI 49712 | 2008-01-06 |
| 1538208657 | Edward Allan Fritch Jr. | Family Medicine | 719d N Lake St, Boyne City, MI 49712 | 2007-02-05 |
| 1992856884 | Christopher Fair | Chiropractor | 200 Air Industrial Park Drive, Boyne City, MI 49712 | 2007-01-16 |
| 1851371124 | Dennis Edward Kirkby | Dentist | 112 E Main St, Boyne City, MI 49712 | 2006-01-20 |
| 1417935040 | Carrie Jean-borowski Bollmann | Nurse Practitioner | 1249 M-75 South, Boyne City, MI 49712 | 2006-01-04 |
| 1588150064 | Echocardiography On Wheels, Lc | Spec/Tech, Cardiovascular | 120 Water St, Boyne City, MI 49712 | 2018-07-07 |
| 1811483571 | Tiffany Marie Faulknor | Spec/Tech, Cardiovascular | 120 Water St, Boyne City, MI 49712 | 2018-07-05 |
| 1679631923 | Boyne City Dental | Dentist | 830 State St, Boyne City, MI 49712 | 2006-12-05 |
| Find all providers in zip 49712 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992115679 | Rebecca L Dionne | Counselor | 101 River Street, Suite 100, Boyne City, MI 49712 | 2014-05-02 |
| 1407113426 | Jill Marie Valliere | Counselor | 559 S M 75, Boyne City, MI 49712-8842 | 2012-04-15 |
| 1194966770 | Kathryn Demaagd | Counselor | 1776 Wildwood Heights Rd, Boyne City, MI 49712-9196 | 2009-03-12 |
| 1609113026 | Pyramid of Hope Counseling | Counselor | 559 S M 75, Boyne City, MI 49712-8842 | 2013-01-04 |
| 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 | BOYNE CITY |
| Zip Code | 49712 |
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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.