PROMED HEALTHCARE (NPI# 1568592038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568592038 |
| Entity Type | Organization |
| Organization Name | PROMED HEALTHCARE |
| Other Organization Name | DELANO CLINIC |
| Practice Address |
1722 Shaffer St Kalamazoo MI 49048-1633 |
| Mailing Address |
5943 Stadium Dr Suite 3 Kalamazoo MI 49009-3016 |
| Practice Telephone | 2692265600 |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | EDWARD MILLERMAIER (CMO) |
| Authorized Official Telephone | 2695522910 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBSM GROUP # | 75-09-109330 | 01 |
| Other Name | Type Code |
|---|---|
| Delano Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386702173 | Promed Healthcare | Durable Medical Equipment & Medical Supplies | 4200 S Westnedge Ave, Kalamazoo, MI 49008-3208 | 2006-12-05 |
| 1285875013 | Promed Healthcare | Chiropractor | 3025 Gull Rd, Kalamazoo, MI 49048-1281 | 2009-03-06 |
| 1316129042 | Promed Healthcare | Psychiatry & Neurology | 1521 Gull Rd, Kalamazoo, MI 49048-1640 | 2007-12-05 |
| 1154451250 | Promed Healthcare | Advanced Practice Midwife | 1535 Gull Rd, Suite 250, Kalamazoo, MI 49048-1650 | 2007-03-07 |
| 1487708830 | Promed Healthcare | Clinic/Center | 671 Allegan St, Ste A, Plainwell, MI 49080-1685 | 2007-01-23 |
| 1316099302 | Promed Healthcare | Clinic/Center | 1241 W Broadway St, Three Rivers, MI 49093-8319 | 2007-01-18 |
| 1124189410 | Promed Healthcare | Durable Medical Equipment & Medical Supplies | 7901 Angling Rd, Portage, MI 49024-0714 | 2006-12-12 |
| 1962563254 | Promed Healthcare | Durable Medical Equipment & Medical Supplies | 1701 Gull Rd, Kalamazoo, MI 49048-1609 | 2006-12-12 |
| 1750442042 | Promed Healthcare | Durable Medical Equipment & Medical Supplies | 1535 Gull Rd, Suite 250, Kalamazoo, MI 49048-1650 | 2006-12-12 |
| 1245398031 | Promed Healthcare | Durable Medical Equipment & Medical Supplies | 1241 W Broadway St, Three Rivers, MI 49093-8319 | 2006-12-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | ProMed Healthcare Services, LLC | Po Box 2789, Lakeland, FL 33806 |
| New York State Corporations | PROMED HEALTHCARE TECHNOLOGIES, LLC | 555 Pleasantville Road, S-103, Briarcliff Manor, New York 10510 |
| Street Address |
1722 SHAFFER ST |
| City | KALAMAZOO |
| State | MI |
| Zip Code | 49048-1633 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194700104 | Anthony King | Internal Medicine | 1722 Shaffer St, Suite 1, Kalamazoo, MI 49048-1633 | 2005-12-13 |
| 1588916316 | Rebecca M Blades | Nurse Practitioner | 1722 Shaffer St, Kalamazoo, MI 49048-1633 | 2012-10-03 |
| 1720355910 | Spectrum Health Primary Care Partners | Pediatrics | 1722 Shaffer St, Suite 3, Kalamazoo, MI 49048-1633 | 2011-11-16 |
| 1275840969 | Gerard Joseph Gole | Physician Assistant | 1722 Shaffer St, Ste #1, Kalamazoo, MI 49048-1633 | 2010-09-02 |
| 1366769747 | Jessica Delois Williams | Internal Medicine | 1722 Shaffer St, Kalamazoo, MI 49048-1633 | 2010-04-26 |
| 1215167838 | Deepthi Rao | Internal Medicine | 1722 Shaffer St, Kalamazoo, MI 49048-1633 | 2009-07-16 |
| 1831334762 | Sandra Lynn Pratt | Nurse Practitioner | 1722 Shaffer St, Heart Failure Clinic At Borgess, Suite 3, Kalamazoo, MI 49048-1633 | 2008-12-05 |
| 1295995876 | Jamie B Simpson | Psychologist | 1722 Shaffer St, Kalamazoo, MI 49048-1633 | 2008-06-17 |
| 1831398379 | Paulette Levy Thompson | Social Worker | 1722 Shaffer St, Kalamazoo, MI 49048-1633 | 2007-07-14 |
| 1134322308 | Mauli Ashish Verma | Psychiatry & Neurology | 1722 Shaffer St, Suite 3, Kalamazoo, MI 49048-1633 | 2007-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790214146 | Sally Leigh Weigandt | Technician, Other | 5438 Lucerne Ave, Kalamazoo, MI 49048 | 2017-06-08 |
| 1437606670 | Amanda Ezekiel | Advanced Practice Midwife | 1523 Gull Rd Ste 250, Kalamazoo, MI 49048 | 2016-09-06 |
| 1700238987 | Brittany Bittenbender | Technician, Other | 5840 E Cork St, Kalamazoo, MI 49048 | 2016-07-12 |
| 1255747176 | Araena Payton | Early Intervention Provider Agency | 1313 Hotop Ave, Kalamazoo, MI 49048 | 2014-07-11 |
| 1508297151 | Hope Network Eastwood House | Residential Treatment Facility, Physical Disabilities | 2236 Brook Drive, Kalamazoo, MI 49048 | 2013-12-09 |
| 1457780314 | Hope Network Rehabilitation Servicesq | Residential Treatment Facility, Physical Disabilities | 2236 Brooke Drive, Kalamazoo, MI 49048 | 2013-11-01 |
| 1467889576 | Aaron Van Heest | Social Worker | 813 Chrysler St., Kalamazoo, MI 49048 | 2013-10-03 |
| 1760737308 | Salem A. Salem | Internal Medicine | Ascension Borgess Hospital, 1521 Gull Rd, Kalamazoo, MI 49048 | 2012-07-19 |
| 1356523229 | Borgess Medical Center | Psychiatry & Neurology | 1521 Gull Road, Kalamazoo, MI 49048 | 2007-12-03 |
| 1629290135 | Robert Claude Gano | Dentist | 5462 Gull Rd Suite 7, Kalamazoo, MI 49048 | 2007-05-03 |
| Find all providers in zip 49048 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801369814 | One Breath Holistic Counseling LLC | Counselor | 5466 Holiday Ter, Kalamazoo, MI 49009-2147 | 2019-01-03 |
| 1942714662 | Starr Bull | Counselor | 2237 Hillsdale Ave, Kalamazoo, MI 49006-2157 | 2017-11-17 |
| 1780102327 | Jonathan Robert Klok | Counselor | 6963 West Kl Ave. Suite A, Kalamazoo, MI 49009 | 2017-09-04 |
| 1962863001 | Julie A French | Counselor | 1910 Shaffer St, Kalamazoo, MI 49048-1604 | 2016-03-17 |
| 1922467695 | Victoria Orbe | Counselor | 527 Lodge Ln, Kalamazoo, MI 49009-9103 | 2016-02-23 |
| 1902220171 | Hope and Resilience Therapy LLC | Counselor | 251 N Rose St, Kalamazoo, MI 49007-3860 | 2014-02-09 |
| 1548698970 | Ashley Outman | Counselor | 5380 Holiday Ter Ste 27, Kalamazoo, MI 49009-2128 | 2013-10-22 |
| 1932542313 | Kathy Piecuch | Counselor | 5380 Holiday Ter Ste 47, Kalamazoo, MI 49009-2128 | 2013-04-16 |
| 1497005508 | Daniel Allen Davis | Counselor | 519 S Park St, Kalamazoo, MI 49007-5117 | 2012-09-17 |
| 1285983338 | Alessandra Santos Pye | Counselor | 453 Egleston Ave, Kalamazoo, MI 49001-2917 | 2012-09-05 |
| 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.