MARY T BANASZAK (NPI# 1962610303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962610303 |
| Entity Type | Individual |
| Full Name | MARY T BANASZAK |
| Practice Address |
2501 Center Ave Bay City MI 48708-6382 |
| Mailing Address |
27 River Trail Dr Bay City MI 48706-1802 |
| Practice Telephone | 9898929071 |
| Practice Fax Number | 9898929018 |
| Mailing Telephone | 9898929071 |
| Mailing Fax Number | 9898929018 |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
2501 CENTER AVE |
| City | BAY CITY |
| State | MI |
| Zip Code | 48708-6382 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497370399 | Francine Marie Dixon | Pharmacist | 1800 Columbus Ave Ste P, Bay City, MI 48708 | 2020-06-16 |
| 1417578261 | Kassie L Pagliughi | Counselor | 1100 N. Grant Street, Bay City, MI 48708 | 2020-05-04 |
| 1346711694 | Connie Lynn Mossner | Physical Therapy Assistant | 2112 16 Th Street, Ste 7, Bay City, MI 48708 | 2018-12-16 |
| 1275003766 | Great Lakes Bay Health Centers | Clinic/Center | 1821 Mckinley St, Bay City, MI 48708 | 2018-11-28 |
| 1891204970 | Ronald Lavern Polhill Jr. | Registered Nurse | 701 South Lincoln St., Bay City, MI 48708 | 2017-09-21 |
| 1447610001 | Jeffrey M Hunt | Nurse Practitioner | 714 S. Trumbull St., Bay City, MI 48708 | 2016-02-25 |
| 1457762437 | Asim Malik | Emergency Medicine | 1900 Columbus Ave # B203, Bay City, MI 48708 | 2014-05-13 |
| 1538584768 | Sarah R. Vanparis | Registered Nurse | 1010 N. Madison, Bay City, MI 48708 | 2014-02-25 |
| 1033549316 | Melissa Rood | Case Manager/Care Coordinator | 1001 Mulholland, Bay City, MI 48708 | 2013-11-22 |
| 1528498953 | Shannon Rae Ogg | Social Worker | 2110 16th St Ste 7, Bay City, MI 48708 | 2013-11-21 |
| Find all providers in zip 48708 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740798735 | Life Counseling of Mid Michigan LLC | Counselor | 301 N Madison Ave, Bay City, MI 48708-6458 | 2018-01-12 |
| 1023414554 | Kevin Rose | Counselor | 304 Tuscola Rd, Bay City, MI 48708-6896 | 2014-11-11 |
| 1649510314 | Kimberly A Schneider | Counselor | 2104 Avenue D, Bay City, TX 77414-4902 | 2013-02-18 |
| 1134200777 | Teri Booth | Counselor | 114 N Tuscola Rd, Bay City, MI 48708-6995 | 2006-10-18 |
| 1578653283 | Lisa Wells | Counselor | 4176 South Paul Circle, Bay City, MI 48706-1344 | 2006-10-13 |
| 1356376487 | Delta Psychological & Neurobehavioral Services, LLC | Counselor | 114 Tuscola, Bay City, MI 48708-6995 | 2006-07-11 |
| 1346299294 | Blair Devlin | Counselor | 126 Washington Ave, Bay City, MI 48708-5846 | 2006-05-09 |
| 1336784271 | Mint Counseling Center | Counselor | 2104 Avenue D, Bay City, TX 77414-4902 | 2019-11-14 |
| 1699247064 | Lena Shacks-glover | Counselor | 2355 Delta Rd, Bay City, MI 48706-9340 | 2018-12-26 |
| 1528514874 | Heather L Owens | Counselor | 690 S Trumbull St, Bay City, MI 48708-7692 | 2016-08-28 |
| Find all providers in BAY CITY | ||||
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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.