DR. SHEILA R. MCCORMACK (NPI# 1770739997) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770739997 |
| Entity Type | Individual |
| Full Name | DR. SHEILA R. MCCORMACK |
| Credential | PH.D. |
| Practice Address |
983 Spaulding St., Se Ada MI 49301 |
| Mailing Address |
983 Spaulding Ave Se Ada MI 49301-3701 |
| Practice Telephone | 6169429000 |
| Practice Fax Number | 6169420008 |
| Mailing Telephone | 6169429000 |
| Mailing Fax Number | 6169420008 |
| Enumeration Date | 2008-08-08 |
| Last Update Date | 2008-08-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | 6301008182 | MI | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
6301008182 | MI | Behavioral Health & Social Service Providers |
| Street Address |
983 SPAULDING ST., SE |
| City | ADA |
| State | MI |
| Zip Code | 49301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326608720 | Mary Zuidema Lmsw LLC | Social Worker | 938 Spaulding Ave Se, Ada, MI 49301 | 2019-06-18 |
| 1689115040 | Bright Life Therapies LLC | Physical Therapist | 7690 Candlewood Dr, Ada, MI 49301 | 2017-03-17 |
| 1639425747 | Gary W Watson | Social Worker | 975 Spaulding Ave Ste D., Ada, MI 49301 | 2012-07-25 |
| 1821361353 | Paul George Theodore | Obstetrics & Gynecology | 660 South Whitman Ct. Se (retired), Ada, MI 49301 | 2012-02-14 |
| 1265768097 | Mary Kathryn Bennett | Social Worker | 983 Spaulding Ave. S.e., Ada, MI 49301 | 2009-10-29 |
| 1932321593 | Allison Leigh Stevens | Psychologist | 4670 E Fulton Ave Se, Suite 101, Ada, MI 49301 | 2007-05-03 |
| 1750434239 | Sarah J Ash | Registered Nurse | 983 Spaulding Office Annex, Ada, MI 49301 | 2007-01-19 |
| 1396756326 | Christine Marie Olree | Clinical Nurse Specialist | 200 Jefferson, Saint Marys Healthcare, Grand Rapids, MI 49301 | 2006-08-11 |
| 1174548606 | Kurt E Schabes | Dentist | 7210 Headley Se, Ada, MI 49301 | 2006-07-13 |
| 1831170646 | Peter C Lenhart | Internal Medicine | 6741 E Fulton St, Ste 201, Ada, MI 49301 | 2005-11-09 |
| Find all providers in zip 49301 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922247162 | Daniel K. Ehnis, PC | Psychologist | 4670 E. Fulton, Suite 101, Ada, MI 49301-8409 | 2009-02-11 |
| 1336335314 | Southern Oklahoma Psychological Associates Inc. | Psychologist | 422 S Highland St, Ada, OK 74820-6949 | 2007-09-24 |
| 1205042827 | Cheryl E Samuels | Psychologist | 975 Spaulding Ave Se Ste D, Ada, MI 49301-3776 | 2007-05-14 |
| 1174623789 | Jerry N. Duncan | Psychologist | 119 N Broadway Ave, Suite 104, Ada, OK 74820-5049 | 2006-09-24 |
| 1063405769 | Billy Joe Boyd IIi | Psychologist | 1300 Hoppe Blvd Outpatient Services-ada, Suite 6 Strong Family Development, Ada, OK 74820 | 2005-08-26 |
| 1407494982 | River Way Psychological Services | Psychologist | 975 Spaulding Ave Se Ste D, Ada, MI 49301-3776 | 2019-12-16 |
| 1407392129 | Cynthia Joyce Kok | Psychologist | 983 Spaulding Ave Se, Ada, MI 49301-3701 | 2017-01-19 |
| 1568714863 | Robert Labadie Funaro | Psychologist | 967 Spaulding Ave Se, Suite E, Ada, MI 49301-3700 | 2012-10-10 |
| 1194088377 | Kjc323pllc | Psychologist | 967 Spaulding Ave Se, Suite E, Ada, MI 49301-3700 | 2012-06-21 |
| 1518153626 | Association of Christian Therapists, Inc. | Psychologist | 119 N Broadway, Suite 104, Ada, OK 74820 | 2007-09-21 |
| Find all providers in ADA | ||||
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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.