MARK R DERUITER (NPI# 1902340136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902340136 |
| Entity Type | Individual |
| Full Name | MARK R DERUITER |
| Credential | MA, LLMFT |
| Practice Address |
778 Columbia Ave W Battle Creek MI 49015-3028 |
| Practice Telephone | 2699653247 |
| Practice Fax Number | 2699664135 |
| Mailing Telephone | 2699653247 |
| Mailing Fax Number | 2699664135 |
| Enumeration Date | 2016-12-07 |
| Last Update Date | 2016-12-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 4101006710 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447458831 | Mark Deruiter | Audiologist | 164 Pillsbury Dr Se, 115 Shevlin Hall, Minneapolis, MN 55455-0279 | 2007-07-06 |
| Street Address |
778 COLUMBIA AVE W |
| City | BATTLE CREEK |
| State | MI |
| Zip Code | 49015-3028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609930130 | Family & Children Services | Clinic/Center | 778 Columbia Ave W, Battle Creek, MI 49015-3028 | 2006-12-20 |
| 1669004016 | Elisabeth Sharon Ponte | Counselor | 778 Columbia Ave W, Battle Creek, MI 49015-3028 | 2020-02-04 |
| 1669013819 | Jennifer L Lorenz | Social Worker | 778 Columbia Ave W, Battle Creek, MI 49015-3028 | 2019-09-30 |
| 1538729926 | Jessica Candace Ebony Campbell | Psychologist | 778 Columbia Ave W, Battle Creek, MI 49015-3028 | 2019-06-18 |
| 1285106898 | Ashley Csiszar | Social Worker | 778 Columbia Ave W, Battle Creek, MI 49015-3028 | 2018-12-20 |
| 1790291227 | Sarah Sachem Macklin | Social Worker | 778 Columbia Ave W, Battle Creek, MI 49015-3028 | 2017-12-20 |
| 1649715160 | Jessica Eileen Kaczmarczyk | Social Worker | 778 Columbia Ave W, Battle Creek, MI 49015-3028 | 2016-12-20 |
| 1124562921 | Victoria Rodriguez | Social Worker | 778 Columbia Ave W, Battle Creek, MI 49015-3028 | 2016-12-13 |
| 1134663289 | Katherine Houle | Social Worker | 778 Columbia Ave W, Battle Creek, MI 49015-3028 | 2016-12-08 |
| 1649617150 | Julie Kay Brown | Social Worker | 778 Columbia Ave W, Battle Creek, MI 49015-3028 | 2013-05-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669020897 | Marcia Diane Alvarez | Technician | 515 Country Club Blvd, Battle Creek, MI 49015 | 2019-08-30 |
| 1508382540 | Ariel Lynn Jurban | Social Worker | 778 West Columbia Avenue, Battle Creek, MI 49015 | 2017-08-22 |
| 1780139543 | Cardiovascular Ultrasound Solutions, LLC | Spec/Tech, Cardiovascular | 77 South 20th Street, Cardio Suite, Battle Creek, MI 49015 | 2016-08-22 |
| 1487006953 | Ryan Lash | Hearing Instrument Specialist | 5475 Beckley Rd Suite 150, Battle Creek, MI 49015 | 2016-07-08 |
| 1962867150 | Lee Taylor Kuhn | Social Worker | 778 W. Columbia Ave, Battle Creek, MI 49015 | 2015-12-15 |
| 1306212022 | Teresa Wagner | Licensed Practical Nurse | 131 E Columbia Ave., Suite 115, Battle Creek, MI 49015 | 2015-08-17 |
| 1194101311 | Brittany Rene Kruger | Legal Medicine | 75 Mines Creek Pl, Battle Creek, MI 49015 | 2015-08-11 |
| 1164807103 | Timothy Meyer | Social Worker | 778 W Columbia Ave, Battle Creek, MI 49015 | 2015-07-20 |
| 1932534872 | Meggan Rae Volz | Physician Assistant | 5332 Beckly Road, Battle Creek, MI 49015 | 2013-09-11 |
| 1578902235 | Luiz Fernando Pantalena | Dentist | 2245 W. Columbia Ave, Suite 101, Battle Creek, MI 49015 | 2013-06-17 |
| Find all providers in zip 49015 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932401320 | Laurie Jo Walter-hadley | Marriage & Family Therapist | 330 E Columbia Ave, Battle Creek, MI 49015-4469 | 2010-11-17 |
| 1558402305 | Daniel Thomas Hadley | Marriage & Family Therapist | 714 Main St, Battle Creek, MI 49015-4568 | 2007-02-12 |
| 1215025176 | Jennifer Lynn Selent | Marriage & Family Therapist | 714 Main St, Battle Creek, MI 49015-4568 | 2006-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710588520 | Janice Marie Twesten | Marriage & Family Therapist | 7066 Country Springs Dr Sw, Byron Center, MI 49315-8129 | 2020-11-06 |
| 1891392288 | Megan E Six | Marriage & Family Therapist | 733 Madison Ave Se, Grand Rapids, MI 49503-5317 | 2020-10-08 |
| 1053927350 | Sally Catherine Demshur | Marriage & Family Therapist | 2534 Lupine Ct, Okemos, MI 48864-3366 | 2020-09-22 |
| 1801407481 | Regina V. Grujovski | Marriage & Family Therapist | 25156 Pine View Ave, Warren, MI 48091-1567 | 2020-08-16 |
| 1649892548 | Angie L Nelson-gates | Marriage & Family Therapist | 25 Centennial Ave Nw, Grand Rapids, MI 49504-5921 | 2020-05-13 |
| 1699307512 | James Glen Clapper | Marriage & Family Therapist | 5851 Gilman St, Garden City, MI 48135-2512 | 2020-02-08 |
| 1801427323 | Relationship Therapy LLC | Marriage & Family Therapist | 1800 N Milford Rd Ste 101, Milford, MI 48381-1047 | 2020-02-03 |
| 1508409715 | Susan Lesley King Roney | Marriage & Family Therapist | 934 Cambridge Dr Se, Grand Rapids, MI 49506-3360 | 2019-10-21 |
| 1114575610 | Kymberly M Cunningham | Marriage & Family Therapist | 20220 Mitchell St, Detroit, MI 48234-1577 | 2019-08-28 |
| 1528616224 | Edythe Annette Brown | Marriage & Family Therapist | 26861 Bloomfield Dr S, Lathrup Village, MI 48076-4403 | 2019-08-27 |
| Find all providers with the same taxonomy | ||||
| City | BATTLE CREEK |
| Zip Code | 49015 |
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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.