HERON RIDGE ASSOCIATES, PLC (NPI# 1740450279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740450279 |
| Entity Type | Organization |
| Organization Name | HERON RIDGE ASSOCIATES, PLC |
| Practice Address |
1785 W Stadium Blvd Ste 205 Ann Arbor MI 48103-5285 |
| Mailing Address |
3694 Clarkston Rd Suite D Clarkston MI 48348-5213 |
| Practice Telephone | 7344543560 |
| Practice Fax Number | 2483917478 |
| Mailing Telephone | 2486938880 |
| Mailing Fax Number | 2483917478 |
| Enumeration Date | 2008-03-12 |
| Last Update Date | 2018-12-10 |
| Authorized Official Name | LESLIE JOHNSEN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2482448644 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
631112 | MI | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | VALUE OPTIONS | 463240 | 01 |
| MI | BLUE CROSS BLUE SHIELD | 750910606 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750684700 | Heron Ridge Associates, Plc | Social Worker | 705 S Main St Ste 280, Plymouth, MI 48170-1060 | 2010-12-14 |
| 1013187541 | Heron Ridge Associates, Plc | Clinic/Center | 31000 Telegraph Rd, Suite 120, Bingham Farms, MI 48025-4360 | 2008-03-12 |
| Street Address |
1785 W STADIUM BLVD STE 205 |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48103-5285 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013564343 | Susan M Thompson | Social Worker | 1785 W Stadium Blvd Ste 205, Ann Arbor, MI 48103-5285 | 2019-08-21 |
| 1437622685 | Juemei Yang | Psychologist | 1785 W Stadium Blvd Ste 205, Ann Arbor, MI 48103-5285 | 2019-01-09 |
| 1497129928 | Patricia Melnick | Social Worker | 1785 W Stadium Blvd Ste 205, Ann Arbor, MI 48103-5285 | 2015-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043839343 | Melissa Sylvia Danan Rilko | Social Worker | 1775 Timber Trail, Ann Arbor, MI 48103 | 2020-04-16 |
| 1427602929 | Ashwini Gulwadi, Pllc | Psychiatry & Neurology | 2100 S Main Street, Suite A, Unit 4, Ann Arbor, MI 48103 | 2019-08-01 |
| 1225593155 | Brent Aaron Reeve | Chiropractor | 203 S. Zeeb Rd., Suite 106, Ann Arbor, MI 48103 | 2019-02-05 |
| 1548746779 | Loren Camano Shkolnik | Registered Nurse | 3200 W Liberty Rd Ste C5, Ann Arbor, MI 48103 | 2018-07-11 |
| 1982193256 | Jacob B Nienhuis | Psychologist | 4488 Jackson Rd Ste 7b, Ann Arbor, MI 48103 | 2018-05-02 |
| 1053818633 | Regents of The University of Michigan | Eyewear Supplier (Equipment, not the service) | 380 Parkland Plz Ste 210, Ann Arbor, MI 48103 | 2018-04-10 |
| 1376052647 | Shivika Verma | Dentist | 3071 Signature Blvd, Apartment #f, Ann Arbor, MI 48103 | 2017-09-29 |
| 1881118206 | Harrison Udensi Igwe | Clinic/Center | 522 South Maple Stree, Ann Arbor, MI 48103 | 2017-07-27 |
| 1841727641 | Kathleen Murphy | Psychologist | 4141 Woodland Drive, Ann Arbor, MI 48103 | 2017-05-11 |
| 1972037133 | Jonathan Broek | Dietitian, Registered | 2920 Lakeview Dr, Ann Arbor, MI 48103 | 2017-04-14 |
| Find all providers in zip 48103 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558978593 | Katie M Wyss Lmsw, LLC | Clinic/Center | 218 N 4th Ave Ste 207, Ann Arbor, MI 48104-1472 | 2020-09-24 |
| 1669006847 | True Choice Ads | Clinic/Center | 2156 E Eden Ct, Ann Arbor, MI 48108-2510 | 2020-02-27 |
| 1477192268 | Cheryl A Des Montaignes | Clinic/Center | 2010 Hogback Rd Ste 1a, Ann Arbor, MI 48105-9779 | 2019-12-27 |
| 1982114229 | Family Care Psychiatry | Clinic/Center | 5340 Plymouth Rd Ste 202, Ann Arbor, MI 48105-9341 | 2017-09-30 |
| 1093170151 | Evangeline J. Spindler, Md | Clinic/Center | 2737 Newport Rd, Ann Arbor, MI 48103-2281 | 2015-12-16 |
| 1649568031 | Abh Corporation | Clinic/Center | 1220 S. University, Suite 215, Ann Arbor, MI 48104 | 2011-07-19 |
| 1184846255 | Elizabeth A. Waites, Psychologist P. C. | Clinic/Center | 2002 Hogback Rd Ste 15, Ann Arbor, MI 48105-9736 | 2007-05-02 |
| 1427685148 | Matthew Waddell Consulting LLC | Clinic/Center | 103 E Liberty St Ste 203, Ann Arbor, MI 48104-2136 | 2020-03-24 |
| 1740746387 | Crutchfield Counseling | Clinic/Center | 103 E Liberty St Ste 203, Ann Arbor, MI 48104-2136 | 2019-02-19 |
| 1598230476 | Ismail B. Sendi, Md, PC | Clinic/Center | 501 N Maple Rd, Ann Arbor, MI 48103-2827 | 2018-10-08 |
| Find all providers in ANN ARBOR | ||||
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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.