ALEXANDER SYDNEY HOUSEKNECHT


Address: 337 Visser Pl Se, Grand Rapids, MI 49506-1541
Phone: 2064653302

ALEXANDER SYDNEY HOUSEKNECHT (NPI# 1609416197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1609416197
Entity Type Individual
Full Name ALEXANDER SYDNEY HOUSEKNECHT
Credential M.A., TLLP
Practice Address 337 Visser Pl Se
Grand Rapids
MI 49506-1541
Practice Telephone 2064653302
Enumeration Date 2020-01-13
Last Update Date 2020-05-07
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC1900X Psychologist
Specialization: Counseling
6352000108 MI Behavioral Health & Social Service Providers
N 103TC1900X Psychologist
Specialization: Counseling
6301018243 MI Behavioral Health & Social Service Providers

Office Location

Street Address 337 VISSER PL SE
City GRAND RAPIDS
State MI
Zip Code 49506-1541

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NPI Name Taxonomy Address Enumeration
1356954705 Mckenna Shank Technician 1409 E Beltline Ave Se, Grand Rapids, MI 49506 2020-08-26
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1356876536 Lisa Finkbeiner Chiropractor 1324 Lake Dr Se Ste 1, Grand Rapids, MI 49506 2017-04-26
1447622964 Ashley Robinson Rehabilitation Practitioner 1490 East Beltline Ave, Grand Rapids, MI 49506 2015-10-23
1770951584 Stuart Segal Behavioral Analyst 1415 Wealthy St Se Apt 312, Grand Rapids, MI 49506 2015-09-10
1922476373 Elizabeth Taylor Nurse Practitioner 2255 Wealthy Dr., Grand Rapids, MI 49506 2015-09-02
1780066092 Carole Walters Counseling Social Worker 959 Wealthy St. Se, Grand Rapids, MI 49506 2015-06-23
1053792697 Rosemary F. Trimpe Social Worker 4255 Kalamazoo Se, Grand Rapids, MI 49506 2015-06-09
1164809919 Gary James Rehabilitation Practitioner 1490 E. Beltline Se, Grand Rapids, MI 49506 2015-04-30
1275925315 Paul Cole Counselor 1101 Ball Ave. .se., Grand Rapids, MI 49506 2015-02-26
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Taxonomy Information

Taxonomy Code 103TC1900X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Counseling

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1730745852 Kls Counseling LLC Psychologist 688 Cascade West Pkwy Se, Grand Rapids, MI 49546-2171 2019-05-14
1609347285 Luwillis Gibson Psychologist 1014 Dunham St Se, Grand Rapids, MI 49506-2659 2018-12-07
1598257966 Austin Knight Psychologist 1010 Watson St Sw, Grand Rapids, MI 49504-6148 2018-06-01
1609203694 Lynn Jackson Psychologist 456 Plymouth Ave Ne Ste B, Grand Rapids, MI 49505 2013-10-04
1184996969 Joseph Edward Budnick Psychologist 1150 Brownwood Ave Nw, Grand Rapids, MI 49504-3653 2012-02-08
1265660963 Gary Michael Cole Psychologist 1115 Ball Ave Ne Bldg C, Grand Rapids, MI 49505-5904 2009-07-01
1073763710 Kylene Lynn Schipper Psychologist 3300 36th St, Grand Rapids, MI 49518-0007 2008-09-30
1295986933 Jeffrey Alan Bootzin Psychologist 330 Eastern Ave Se, Grand Rapids, MI 49503-4737 2008-09-30
1770730434 Kurt Thomas Ellis Psychologist 4920 Plainfield Ave Ne, Suite C, Grand Rapids, MI 49525-1010 2008-08-25
1437332871 Jeanette Mcdowell Forrest Psychologist 233 Fulton St E Ste 104, Grand Rapids, MI 49503-3261 2007-12-07
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Competitor

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City GRAND RAPIDS
Zip Code 49506

Improve Information

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Dataset Information

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.

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