MICHAEL JACOBUS VAN GELDER


Address: 1001 W 2nd Ave, Spokane, WA 99201-4503
Phone: 5094448200

MICHAEL JACOBUS VAN GELDER (NPI# 1841480761) 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) 1841480761
Entity Type Individual
Full Name MICHAEL JACOBUS VAN GELDER
Credential M.S., M.N., PMHNP
Practice Address 1001 W 2nd Ave
Spokane
WA 99201-4503
Mailing Address 203 N Washington St Ste 300
Spokane
WA 99201-0233
Practice Telephone 5094448200
Practice Fax Number 5098351208
Mailing Telephone 5094448888
Mailing Fax Number 5094447806
Enumeration Date 2007-07-26
Last Update Date 2018-12-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101Y00000X Counselor RC00057879 WA Behavioral Health & Social Service Providers
N 163WP0808X Registered Nurse
Specialization: Psych/Mental Health
201043039RN OR Nursing Service Providers
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
AP60319975 WA Physician Assistants & Advanced Practice Nursing Providers
N 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
201250114NP OR Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
9631 N Nevada St, Spokane, WA 992181133 5095919007

Office Location

Street Address 1001 W 2ND AVE
City SPOKANE
State WA
Zip Code 99201-4503

Providers in the same location

NPI Name Taxonomy Address Enumeration
1982690780 Rusty A Reese Dentist 1001 W 2nd Ave, Spokane, WA 99201-4503 2005-09-27
1962032250 Hesham Ramah S Sagayer Dentist 1001 W 2nd Ave, Spokane, WA 99201-4503 2020-01-25
1750911293 Anya Krmpotich Corcoran Physician Assistant 1001 W 2nd Ave, Spokane, WA 99201-4503 2020-01-23
1386283653 Kristina Hivrenko Dental Hygienist 1001 W 2nd Ave, Spokane, WA 99201-4503 2020-01-03
1629617030 Hailey Marie Heilman Registered Nurse 1001 W 2nd Ave, Spokane, WA 99201-4503 2020-01-02
1174166557 Community Health Association of Spokane Pharmacy 1001 W 2nd Ave, Spokane, WA 99201-4503 2019-10-18
1316502263 Emily Louise Orth Dentist 1001 W 2nd Ave, Spokane, WA 99201-4503 2019-05-07
1932687076 Danielle Elaine Halverson Dentist 1001 W 2nd Ave, Spokane, WA 99201-4503 2018-07-31
1235615105 Nicole Leeann Jacobson Dentist 1001 W 2nd Ave, Spokane, WA 99201-4503 2018-07-13
1104311851 Jae Heung Ha Dentist 1001 W 2nd Ave, Spokane, WA 99201-4503 2018-06-26
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013517952 Maria Escobedo Counselor 1321 N. Ash, Spokane, WA 99201 2020-10-29
1619576774 Bethany Heath Arnp-pmhnp Pllc Nurse Practitioner 1224 West Riverside, Apt 408, Spokane, WA 99201 2020-10-20
1811594658 Kaaren Goeller-bloom Counselor 106 West Mission, Spokane, WA 99201 2020-10-05
1649732793 Marsha Rose Valenzuela Peer Specialist Partners With Families and Children, 1321 W. Broadway, Spokane, WA 99201 2019-04-05
1770047896 Rachel Nicole Burns Counselor 1321 W. Broadway Ave, Spokane, WA 99201 2019-01-23
1760953384 Nicole Renee Breesnee Counselor 2308 W. 3rd Ave, Spokane, WA 99201 2018-12-07
1083184675 Alicia L Paschall Counselor 222 S Howard St, Apt 310, Spokane, WA 99201 2018-11-27
1003383159 Sandra Kay Robinson Counselor New Horizons Care Centers, Inc., 701 E 3rd Street, Spokane, WA 99201 2018-10-26
1801361191 Michael Joseph Lehman Naturopath 316 W Boone Ave Ste 777, Spokane, WA 99201 2018-10-12
1316422454 Cmdpn Medical Group of Washington, P.C. Emergency Medicine 707 West Main Ave. Ste B1, Pmb 117, Spokane, WA 99201 2018-09-25
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1619576774 Bethany Heath Arnp-pmhnp Pllc Nurse Practitioner 1224 West Riverside, Apt 408, Spokane, WA 99201 2020-10-20
1386254290 Candie M. Wellwood Nurse Practitioner 9908 S Sherman Rd, Spokane, WA 99224-9811 2020-08-05
1104434679 Progressive Psychiatric Consultant Nurse Practitioner 170 S Lincoln St # 150, Spokane, WA 99201-4443 2020-07-21
1376104232 Bethany Ann Heath Nurse Practitioner 5420 W Barnes Rd Apt 206, Spokane, WA 99208-7031 2019-06-21
1467948471 Nicholas Goodwin Nurse Practitioner 1106 W Garland Ave, Spokane, WA 99205-2735 2018-07-03
1770095325 Erin Ryan Nurse Practitioner 1013 W Briar Cliff Dr, Spokane, WA 99218-2416 2017-11-03
1972967305 Roberta Plunkett Nurse Practitioner 140 S. Arthur St., Suite 415, Spokane, WA 99202 2016-04-12
1861815037 Michael Jude Lynch Nurse Practitioner 2136 W Riverside Ave, Spokane, WA 99201-1444 2014-01-24
1245507664 Korsgaard Mental Health, Inc Nurse Practitioner 140 S 140 Arthur St, Ste 415, Spokane, WA 99202-2220 2011-11-30
1427247410 Kristin Angelic Miller Nurse Practitioner 3711 W Woodside Ave, Spokane, WA 99208-4860 2007-10-16
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Competitor

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City SPOKANE
Zip Code 99201

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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