MS. MARY JEAN BAGGERMAN (NPI# 1942304209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942304209 |
| Entity Type | Individual |
| Full Name | MS. MARY JEAN BAGGERMAN |
| Credential | MA |
| Practice Address |
8036 Moorsbridge Road Suite #2 Portage MI 49024-4417 |
| Mailing Address |
Po Box 2585 Portage MI 49081-2585 |
| Practice Telephone | 2693271438 |
| Practice Fax Number | 2693276454 |
| Mailing Telephone | 2693810150 |
| Mailing Fax Number | 2693734720 |
| Enumeration Date | 2006-09-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 103TC1900X |
Psychologist Specialization: Counseling |
6401002019 | MI | Behavioral Health & Social Service Providers |
| X | 1041C0700X |
Social Worker Specialization: Clinical |
6801034504 | MI | Behavioral Health & Social Service Providers |
| Street Address |
8036 MOORSBRIDGE ROAD SUITE #2 |
| City | PORTAGE |
| State | MI |
| Zip Code | 49024-4417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275645947 | Frederick Folger Macdonald | Social Worker | 8036 Moorsbridge Road, Ste 2, Portage, MI 49024-4417 | 2006-08-31 |
| 1992017305 | Mark Allen Glubke | Counselor | 8036 Moorsbridge Road, Suite 2, Portage, MI 49024 | 2010-07-14 |
| 1700977873 | Jane Christine Nelson-holmes | Social Worker | 8036 Moorsbridge Road, Suite #2, Portage, MI 49024-4417 | 2006-09-27 |
| 1790876472 | Sheryl Lynn Kiel | Psychologist | 8036 Moorsbridge Road, Portage, MI 49024-4417 | 2006-09-27 |
| 1154412930 | Jean Lavonne Ogilvie | Psychologist | 8036 Moorsbridge Road, Suite #2, Portage, MI 49024-4417 | 2006-09-27 |
| 1740371426 | Patricia Ruth Murray | Psychologist | 8036 Moorsbridge Road, Suite #2, Portage, MI 49024-4417 | 2006-09-27 |
| 1306940663 | Conni Jani Lutes | Social Worker | 8036 Moorsbridge Road, Suite #2, Portage, MI 49024-4417 | 2006-09-08 |
| 1548362171 | David Lee Russell | Psychologist | 8036 Moorsbridge Road, Suite #2, Portage, MI 49024-4417 | 2006-09-03 |
| 1861594715 | Roberta Hope Kerr | Psychologist | 8036 Moorsbridge Road, Suite 2, Portage, MI 49024-4417 | 2006-09-02 |
| 1619079589 | Gordon Keith Hare | Psychologist | 8036 Moorsbridge Road, Suite 2, Portage, MI 49024-4417 | 2006-09-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134774524 | Antonio Richard Barron | Physician Assistant | 5717 Oakland Dr Ste A, Portage, MI 49024 | 2019-08-03 |
| 1699279240 | Julie Lynn Griffin | Specialist/Technologist | Portage Northern High School, 1000 Idaho Ave, Portage, MI 49024 | 2018-03-20 |
| 1194255711 | Brittany Lynn Finkler | Audiologist | 576 Romence Rd Ste 121, Portage, MI 49024 | 2017-06-15 |
| 1164881207 | Family & Children Services, Inc. | Clinic/Center | 1302 W Milham Ave, Portage, MI 49024 | 2016-02-17 |
| 1497127716 | Huber Counseling, LLC | Counselor | 1591 West Centre Ave, Suite 102, Portage, MI 49024 | 2015-10-26 |
| 1659757466 | Marie Porter | Rehabilitation Practitioner | 5724 Alten St, Portage, MI 49024 | 2015-08-04 |
| 1063824860 | George Hughes | General Practice | 6630 Sunburst Dr, Portage, MI 49024 | 2014-05-28 |
| 1922358407 | Kimberly Lynn Ellrich | Speech-Language Pathologist | Storypoint, 3951 W Milham Ave, Portage, MI 49024 | 2012-09-12 |
| 1942593744 | Shamika Hall, Ph.d. & Associates, Pllc | Community/Behavioral Health | 7901 S. 12th St., Suite 201, Portage, MI 49024 | 2011-05-26 |
| 1306142815 | Jody Lynn Wrathall | Dentist | 3020 Old Centre Rd, Portage, MI 49024 | 2011-01-31 |
| Find all providers in zip 49024 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174147755 | Jane Ann Connon | Psychologist | 5619 Downing St, Portage, MI 49024-9519 | 2020-05-30 |
| 1912494592 | Hunter Counseling LLC | Psychologist | 5900 Portage Rd, Portage, MI 49002-1774 | 2018-04-18 |
| 1902226962 | Pamala Topp | Psychologist | 1504 Romence Rd, Portage, MI 49024-3470 | 2014-04-17 |
| 1407022874 | Andre Rubin Fields | Psychologist | 8175 Creekside Dr, Suite 264, Portage, MI 49024-5377 | 2008-05-05 |
| 1538234521 | Carole Marie Bullmer | Psychologist | 6100 Newport Rd Ste 222, Portage, MI 49002-9235 | 2006-11-22 |
| 1992292338 | Deerfield Counseling LLC | Psychologist | 5900 Portage Rd, Portage, MI 49002-1774 | 2018-04-20 |
| 1932507761 | Anastasiya Lutsenko | Psychologist | 5805 Oakland Dr, Portage, MI 49024-1118 | 2014-12-10 |
| 1487055323 | Amber Ostlund | Psychologist | 5148 Lovers Ln, Suite 2, Portage, MI 49002-1572 | 2014-09-10 |
| 1205258084 | Kimberly Sieklucki | Psychologist | 5148 Lovers Ln, Suite 2, Portage, MI 49002-1572 | 2014-01-13 |
| 1568737799 | Jessica A Kerby | Psychologist | 7320 Garden Ln, Portage, MI 49002-4423 | 2012-03-21 |
| 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.