SANDER M WECKSTEIN (NPI# 1568568608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568568608 |
| Entity Type | Individual |
| Full Name | SANDER M WECKSTEIN |
| Credential | M.D. |
| Practice Address |
3287 Racquet Club Dr Unit A Traverse City MI 49684-4702 |
| Mailing Address |
Po Box 428 Cadillac MI 49601-0428 |
| Practice Telephone | 2319350355 |
| Practice Fax Number | 2319350360 |
| Mailing Telephone | 2317756076 |
| Mailing Fax Number | 2317750027 |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
4301407227 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
3287 RACQUET CLUB DR UNIT A |
| City | TRAVERSE CITY |
| State | MI |
| Zip Code | 49684-4702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962414805 | Northern Michigan Psychiatric Services PC | Psychiatry & Neurology | 3287 Racquet Club Dr Unit A, Traverse City, MI 49684-4702 | 2006-08-12 |
| 1043768054 | Sarah Juliana Chichester | Registered Nurse | 3287 Racquet Club Dr Unit A, Traverse City, MI 49684-4702 | 2016-09-19 |
| 1639573595 | Lynda Key | Social Worker | 3287 Racquet Club Dr Unit A, Traverse City, MI 49684-4702 | 2014-10-21 |
| 1285038349 | Northern Michigan Psychiatric Services | Social Worker | 3287 Racquet Club Dr Unit A, Traverse City, MI 49684-4702 | 2014-10-20 |
| 1942471602 | Robin A Heiges | Social Worker | 3287 Racquet Club Dr Unit A, Traverse City, MI 49684-4702 | 2008-03-20 |
| 1558579912 | Susan E Dionne | Social Worker | 3287 Racquet Club Dr Unit A, Traverse City, MI 49684-4702 | 2007-05-18 |
| 1528276995 | Christopher Parker | Social Worker | 3287 Racquet Club Dr Unit A, Traverse City, MI 49684-4702 | 2007-05-18 |
| 1811105281 | Barbara Sue Bowerman | Social Worker | 3287 Racquet Club Dr Unit A, Traverse City, MI 49684-4702 | 2007-05-18 |
| 1609933894 | Julie Ann Kachadurian | Psychologist | 3287 Racquet Club Dr Unit A, Traverse City, MI 49684-4702 | 2007-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124641758 | Karen Anne Paulosky | Registered Nurse | 226 S Madison St, Traverse City, MI 49684 | 2020-05-18 |
| 1891314795 | Jaclyn Elizabeth Sylvain | Student in an Organized Health Care Education/Training Program | Munson Family Practice Center, 1400 Medical Campus Drive, Traverse City, MI 49684 | 2020-04-10 |
| 1285282988 | Madelyn Drumm | Dietitian, Registered | 217 S. Madison St., Suite 3022, Traverse City, MI 49684 | 2019-08-27 |
| 1265917686 | Kacie Danielle Heading | Social Worker | 12719 S. West Bay Shore Drive, Suite 9, Traverse City, MI 49684 | 2018-10-02 |
| 1881178325 | Jacob White Ph.d., Pllc | Psychologist | 3537 W. Front Street, Suite F, Traverse City, MI 49684 | 2018-09-20 |
| 1144702572 | Constance Baab, Phd, Lmsw, Pllc | Social Worker | 3301 Veterans Drive Suite 127, Traverse City, MI 49684 | 2018-09-01 |
| 1346732880 | The Skin Cancer and Dermatology Center Plc | Dermatology | 1225 W Front St Ste 2, Traverse City, MI 49684 | 2018-05-31 |
| 1790283851 | Lisa Louise Kleyps | Massage Therapist | 3337 W. South Airport Road #2, Traverse City, MI 49684 | 2018-01-24 |
| 1114447646 | Brittany Alexandra Prior | Physical Therapist | 3899 W Front Sreet, Unit 3, Traverse City, MI 49684 | 2017-06-26 |
| 1568902963 | Jennifer Scott | Behavior Technician | 515 W 14th St Unit D, Traverse City, MI 49684 | 2017-03-03 |
| Find all providers in zip 49684 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407199961 | David Donald Krohn | Psychiatry & Neurology | 563 Highland Park Dr, Traverse City, MI 49686-2863 | 2013-04-03 |
| 1235375775 | Kristine Baker | Psychiatry & Neurology | 721 Cherokee St, Traverse City, MI 49684-1401 | 2009-01-06 |
| 1497831697 | Karin Emily Olson | Psychiatry & Neurology | 8784 Traverse Hwy, Traverse City, MI 49684 | 2006-10-31 |
| 1962414805 | Northern Michigan Psychiatric Services PC | Psychiatry & Neurology | 3287 Racquet Club Dr Unit A, Traverse City, MI 49684-4702 | 2006-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316376056 | Esmaeil Emami | Psychiatry & Neurology | 2955 Franklin Rd, Bloomfield Hills, MI 48302-0917 | 2013-11-04 |
| 1154760312 | Samantha Fugate Kennedy | Psychiatry & Neurology | 909 Fee Rd Ste B119, East Lansing, MI 48824 | 2013-06-21 |
| 1164712055 | Tatjana Maric | Psychiatry & Neurology | 420 Baltimore Dr Ne, Grand Rapids, MI 49503-3934 | 2011-04-12 |
| 1972893824 | Katherine Barbara Krive | Psychiatry & Neurology | 801 S Waverly Rd Ste 100, Lansing, MI 48917-4200 | 2011-04-12 |
| 1104128602 | Hope Network Behavioral Health Services | Psychiatry & Neurology | 3361 36th Street, Grand Rapids, MI 49512 | 2010-12-03 |
| 1295056653 | Veronica Yap Tan | Psychiatry & Neurology | 23354 Portage Way, Apt. 2212, Novi, MI 48375 | 2010-06-18 |
| 1548588874 | Katie Alanna Keller | Psychiatry & Neurology | 79 Alexandrine West, Detroit, MI 48201 | 2010-05-11 |
| 1538390133 | Behavioral Health Associates Pllc | Psychiatry & Neurology | 19500 Middlebelt Rd, Suite 350e, Livonia, MI 48152-2196 | 2009-07-30 |
| 1689820078 | Margaret Mary Casey | Psychiatry & Neurology | 1326 Saint Antoine St, Detroit, MI 48226-2301 | 2008-08-18 |
| 1992951693 | Saadia Nosheen | Psychiatry & Neurology | 4250 Plymouth Rd Spc 5766, University of Michigan, Department of Psychiatry, Ann Arbor, MI 48109-2700 | 2008-08-13 |
| Find all providers with the same taxonomy | ||||
| City | TRAVERSE CITY |
| Zip Code | 49684 |
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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.