CHERRY STREET SERVICES, INC. (NPI# 1558459164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558459164 |
| Entity Type | Organization |
| Organization Name | CHERRY STREET SERVICES, INC. |
| Other Organization Name | CHERRY STREET HEALTH SERVICES |
| Practice Address |
550 Cherry St Se Grand Rapids MI 49503-4748 |
| Mailing Address |
100 Cherry St Se Grand Rapids MI 49503-4526 |
| Practice Telephone | 6162357289 |
| Practice Fax Number | 6162350739 |
| Mailing Telephone | 6162357272 |
| Mailing Fax Number | 6162357506 |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2018-05-07 |
| Authorized Official Name | TASHA BLACKMON (CEO) |
| Authorized Official Telephone | 6169658215 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
Behavioral Health & Social Service Providers | ||
| N | 104100000X | Social Worker | MI | Behavioral Health & Social Service Providers | |
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
Behavioral Health & Social Service Providers | ||
| N | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers | ||
| N | 122300000X | Dentist | Dental Providers | ||
| N | 163W00000X | Registered Nurse | MI | Nursing Service Providers | |
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Cherry Street Health Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841449105 | Cherry Street Services, Inc. | Dentist | 101 Sheldon Blvd Se Ste 1, Grand Rapids, MI 49503-4950 | 2008-09-11 |
| 1710047303 | Cherry Street Services, Inc. | Social Worker | 1720 Plainfield Nw, Grand Rapids, MI 49505-4705 | 2006-12-12 |
| 1982764643 | Cherry Street Services, Inc. | Social Worker | 1800 Tremont Blvd Nw, Grand Rapids, MI 49504-4868 | 2006-12-11 |
| 1124187471 | Cherry Street Services, Inc. | Dentist | 2055 Rosewood Ave Se, Grand Rapids, MI 49506-5248 | 2006-12-06 |
| 1063586816 | Cherry Street Services, Inc. | Social Worker | 1215 Fulton St E, Grand Rapids, MI 49503-3849 | 2006-11-20 |
| 1770656605 | Cherry Street Services, Inc. | Pediatrics | 2125 Buchanan Sw, Grand Rapids, MI 49507 | 2006-11-16 |
| 1891867495 | Cherry Street Services, Inc. | Clinical Neuropsychologist | 669 Stocking Ave Nw, Grand Rapids, MI 49504-5176 | 2006-11-15 |
| 1215414800 | Cherry Street Services, Inc. | Social Worker | 490 Century Ln, Holland, MI 49423 | 2018-07-26 |
| 1336399047 | Cherry Street Services, Inc. | Dentist | 101 Sheldon Blvd Se, Grand Rapids, MI 49503-4262 | 2008-09-30 |
| 1689731507 | Cherry Street Services, Inc. | Registered Nurse | 550 Cherry St Se, Grand Rapids, MI 49503-4748 | 2007-01-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Cherry Street Services, Inc. | 1029 E 8th Ave, 1204, Denver, CO 80218 |
| New York State Corporations | CHERRY STREET SERVICES, INC. | 525 Bayview Ave, Inwood, Ny 11096 |
| Street Address |
550 CHERRY ST SE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49503-4748 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750307807 | Nancy J. Pranger | Obstetrics & Gynecology | 550 Cherry St Se, Grand Rapids, MI 49503-4748 | 2006-07-14 |
| 1790391613 | Mohamad Sheikh-khalil | Pharmacy | 550 Cherry St Se, Grand Rapids, MI 49503-4748 | 2020-09-16 |
| 1861024325 | Michelle Lynn Heeren | Dental Hygienist | 550 Cherry St Se, Grand Rapids, MI 49503-4748 | 2020-02-12 |
| 1508415100 | Rachael M Vasquez | Dentist | 550 Cherry St Se, Grand Rapids, MI 49503-4748 | 2019-09-05 |
| 1952810830 | Kaitlin Jane Hendriksma | Nurse Practitioner | 550 Cherry St Se, Grand Rapids, MI 49503-4748 | 2017-09-24 |
| 1063949352 | Claire Titcombe | Social Worker | 550 Cherry St Se, Grand Rapids, MI 49503-4748 | 2017-05-17 |
| 1841743655 | Susana Michelle De Leon | Social Worker | 550 Cherry St Se, Grand Rapids, MI 49503 | 2016-07-27 |
| 1912356692 | Kaylie Grace Kamphuis | Dentist | 550 Cherry St Se, Grand Rapids, MI 49503-4748 | 2016-06-03 |
| 1164896593 | Tara Brown | Dental Hygienist | 550 Cherry St Se, Grand Rapids, MI 49503-4748 | 2015-11-23 |
| 1114308988 | Enas Karim | Dentist | 550 Cherry St Se, Grand Rapids, MI 49503-4748 | 2015-06-17 |
| Find all providers in the same location | ||||
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|---|---|---|---|---|
| 1801496195 | Airway Oxygen, Inc. | Durable Medical Equipment & Medical Supplies | Lemmen Holton Cancer Pavilion, 145 Michigan St Ne Ste 3400, Grand Rapids, MI 49503 | 2020-10-27 |
| 1730707282 | Adriana Molina-schmuker | Counselor | 901 Eastern Avenue Ne, Grand Rapids, MI 49503 | 2020-07-10 |
| 1477176949 | Kimberly Buskirk | Specialist | 1131 Ionia Ava Nw, Grand Rapids, MI 49503 | 2020-05-19 |
| 1124647805 | Jared Host | Speech-Language Pathologist | Mercy Health Hauenstein Neuroscience Center 220 Cherry, Grand Rapids, MI 49503 | 2020-04-13 |
| 1265061378 | Heather Gladfelter | Student in an Organized Health Care Education/Training Program | 339 Barclay Ave Ne Ste 300, Grand Rapids, MI 49503 | 2020-04-02 |
| 1194368647 | Amy Jo Arends | Nurse Practitioner | 350 Lafayette S.e., Suite 301, Grand Rapids, MI 49503 | 2019-10-28 |
| 1376185199 | Beth Arce | Occupational Therapist | 245 Cherry St Se Suite 302, Grand Rapids, MI 49503 | 2019-10-14 |
| 1295387256 | Althea Ziolkowski | Licensed Practical Nurse | Salvation Army Turning Point Programs, 1215 Fulton St E, Grand Rapids, MI 49503 | 2019-07-10 |
| 1790340719 | Heather Anne Fox | Occupational Therapist | Marywood, 111 Lakeside Dr Ne, Grand Rapids, MI 49503 | 2019-05-06 |
| 1184182883 | April L Kaiserlian | Social Worker | 983 Spaulding Ave Ne, Ada, MI 49503 | 2019-03-12 |
| Find all providers in zip 49503 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730471368 | Justin L Shields | Clinic/Center | 25 Michigan St Ne Ste 5100, Grand Rapids, MI 49503-2572 | 2011-05-16 |
| 1902002272 | Trinity Health - Michigan | Clinic/Center | 359 S Division Ave, Grand Rapids, MI 49503 | 2007-06-25 |
| 1811427826 | Catherine's Health Center | Clinic/Center | 1211 Lafayette Ave Ne, Grand Rapids, MI 49505-5092 | 2017-06-13 |
| 1962933416 | Trinity Health-michigan | Clinic/Center | 1246 Madison Ave Se, Grand Rapids, MI 49507-1761 | 2017-03-27 |
| 1023558533 | Cherry Health | Clinic/Center | 100 Cherry St Se, Grand Rapids, MI 49503-4526 | 2017-03-02 |
| 1154584373 | Trinity Health - Michigan | Clinic/Center | 730 Grandville Ave Sw, Grand Rapids, MI 49503-4920 | 2008-07-08 |
| 1508063561 | Saint Mary's Health Services | Clinic/Center | 730 Grandville Ave Sw, Grand Rapids, MI 49503-4920 | 2007-07-02 |
| 1417154477 | St Mary's Hlth Svcs | Clinic/Center | 359 Division Ave S, Grand Rapids, MI 49503-4537 | 2007-07-02 |
| 1902002264 | St Marys Hlth Svcs | Clinic/Center | 245 Cherry St Se, Ste 306, Grand Rapids, MI 49503-4607 | 2007-06-25 |
| 1710182431 | Professional Financial Services | Clinic/Center | 1246 Madison Ave Se, Grand Rapids, MI 49507-1761 | 2007-06-21 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49503 |
Please comment or provide details below to improve the information on CHERRY STREET SERVICES, INC..
| 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.