DR. AUBREY KRISTEN TUDERS (NPI# 1740582857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740582857 |
| Entity Type | Individual |
| Full Name | DR. AUBREY KRISTEN TUDERS |
| Credential | PSYD |
| Practice Address |
1617 E Milham Ave Zach Duggar Portage MI 49002-3049 |
| Practice Telephone | 6123000533 |
| Mailing Telephone | 6123000533 |
| Enumeration Date | 2010-11-22 |
| Last Update Date | 2017-01-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
6301016914 | MI | Behavioral Health & Social Service Providers |
| Street Address |
1617 E MILHAM AVE ZACH DUGGAR |
| City | PORTAGE |
| State | MI |
| Zip Code | 49002-3049 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164642906 | West Wind Family &cosmetic Denistry | Dentist | 1617 E Milham Ave, Portage, MI 49002-3049 | 2007-04-26 |
| 1073124103 | Johnson Family Dentistry | Dentist | 1617 E Milham Ave, Portage, MI 49002-3049 | 2020-08-12 |
| 1639605215 | Lauren Schultz | Behavior Technician | 1617 E Milham Ave, Suite B, Portage, MI 49002-3049 | 2017-05-03 |
| 1164957148 | Patrick Ducey | Behavior Technician | 1617 E Milham Ave, Suite B, Portage, MI 49002-3049 | 2017-04-27 |
| 1801321997 | Lindie Mckenzie | Behavior Technician | 1617 E Milham Ave, Suite B, Portage, MI 49002-3049 | 2017-04-26 |
| 1447784491 | Robert Sarker | Behavior Technician | 1617 E Milham Ave, Suite B, Portage, MI 49002-3049 | 2017-04-17 |
| 1225562507 | Erin O'brien | Behavior Technician | 1617 E Milham Ave, Portage, MI 49002-3049 | 2017-04-13 |
| 1326572686 | Jacob Savage | Behavior Technician | 1617 E Milham Ave, Portage, MI 49002-3049 | 2017-04-13 |
| 1073047320 | Naomi Breiler | Behavior Technician | 1617 E Milham Ave, Suite B, Portage, MI 49002-3049 | 2017-04-13 |
| 1265966519 | Patrick Wieszciecinski | Behavioral Analyst | 1617 E Milham Ave, Suite B, Portage, MI 49002-3049 | 2017-04-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932604204 | Susan Vandewalker | Physical Therapist | 8001 Angling Rd., Portage, MI 49002 | 2018-03-28 |
| 1134634934 | Portage Chiropractic and Wellness Center | Chiropractor | 609 E. Centre, Portage, MI 49002 | 2017-12-04 |
| 1548620537 | Patricia Eid | Behavioral Analyst | 1016 E Milham Ave, Suite 2, Portage, MI 49002 | 2016-03-03 |
| 1386045383 | Pinnacle Senior Care of Kalamazoo, LLC | Home Health | 2725 Airview Blvd Ste 105b, Portage, MI 49002 | 2014-09-09 |
| 1104241611 | Meredith Ayers Holland | Behavioral Analyst | 9616 Portage Road, Portage, MI 49002 | 2014-02-20 |
| 1619211919 | Daketia L Thomas | Massage Therapist | 8314 Portage Rd, Suite D, Kalamazoo, MI 49002 | 2012-11-27 |
| 1831457142 | Kinetic Kids, LLC | Occupational Therapist | 540 East Milham, Portage, MI 49002 | 2012-04-25 |
| 1154689404 | Lauren Michelle Mattaliano | Occupational Therapist | 540 E. Milham Road, Portage, MI 49002 | 2012-04-24 |
| 1114219227 | South Michigan Psychiatric Services LLC | Psychiatry & Neurology | 5390 Lovers Ln, Third Floor, Portage, MI 49002 | 2011-05-07 |
| 1174836316 | Premier Neuropsychiatry Plc | Psychiatry & Neurology | 5930 Lovers Lane, Portage, MI 49002 | 2010-07-16 |
| Find all providers in zip 49002 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083213631 | Robert J. Sheppard Phd Pllc | Psychologist | 8339 Brookwood Dr, Portage, MI 49024-5207 | 2020-10-23 |
| 1689965329 | Carolyn J Heineman Phd LLC | Psychologist | 5228 Lovers Ln, Suite 104, Portage, MI 49002-1521 | 2011-04-28 |
| 1609994029 | Robert Alan Rodenhiser | Psychologist | 1611 W Centre, Suite 203, Portage, MI 49024 | 2007-03-26 |
| 1497899801 | Susan Christine Baird | Psychologist | 8036 Moorsbridge Rd., Suite 2, Portage, MI 49024-4419 | 2007-02-18 |
| 1285702548 | David W. Parks | Psychologist | 6337 Central Ave, Portage, IN 46368-3801 | 2006-12-02 |
| 1720015985 | Joel Schwartz | Psychologist | 5877 Central Ave Ste A, Portage, IN 46368-2920 | 2006-06-26 |
| 1609837855 | Linda L Hill | Psychologist | 3141 Willowcreek Rd, Suite F, Portage, IN 46368-4468 | 2006-03-29 |
| 1215914304 | Steven Glen Townsend | Psychologist | 8928 Portage Rd, Portage, MI 49002-6420 | 2005-12-29 |
| 1558342030 | Patricia Moulton Guilford | Psychologist | 5930 Lovers Ln, Portage, MI 49002-1673 | 2005-11-10 |
| 1730176587 | John Michael Spores | Psychologist | 3349 Willowcreek Rd, Portage, IN 46368-5015 | 2005-10-05 |
| Find all providers in PORTAGE | ||||
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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.