PSYCHIATRIC PHYSICIANS, PLLC (NPI# 1982824512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982824512 |
| Entity Type | Organization |
| Organization Name | PSYCHIATRIC PHYSICIANS, PLLC |
| Other Organization Name | JAMES P. WIADUCK, M.D. |
| Practice Address |
4461 Grand Haven Road Muskegon MI 49441 |
| Mailing Address |
P.o. Box 334 Grand Haven MI 49417 |
| Practice Telephone | 2317988337 |
| Practice Fax Number | 2317989816 |
| Mailing Telephone | 2317988337 |
| Mailing Fax Number | 2317989816 |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2020-01-08 |
| Authorized Official Name | DR. JAMES PATRICK WIADUCK (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 2317988337 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0015X |
Psychiatry & Neurology Specialization: Psychosomatic Medicine |
4301066579 | MI | Allopathic & Osteopathic Physicians |
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
4301066579 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | PTAN ON10230 | PTANON10230 | 01 |
| Other Name | Type Code |
|---|---|
| James P. Wiaduck, M.D. | Doing Business As Name - Organization |
| Street Address |
4461 GRAND HAVEN ROAD |
| City | MUSKEGON |
| State | MI |
| Zip Code | 49441 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720692494 | Memphis Chardell Sandoval | Nurse Practitioner | 131 S. Seaway Dr., Muskegon, MI 49441 | 2020-09-01 |
| 1598222952 | Kimberlee K Erickson-worpel Ma,llp | Psychologist | 3611 Henry Street, Norton Shores, MI 49441 | 2019-02-21 |
| 1164921011 | Brittany Ann Bayne | Behavior Technician | 640 Seminole, Muskegon, MI 49441 | 2018-02-06 |
| 1497273403 | Rx Optical Laboratories, Inc. | Optometrist | 3445 Henry St, Norton Shores, MI 49441 | 2017-08-30 |
| 1801320072 | Gentle Souls Home Care, LLC | In Home Supportive Care | 2743 Henry Street Pmb #117, Muskegon, MI 49441 | 2017-04-14 |
| 1467814889 | Lyle Karp | Hearing Instrument Specialist | 3145 Henry St., Muskegon, MI 49441 | 2016-03-24 |
| 1649653817 | Jessica Marie Lambert | Dentist | 5978 Harvey St., Muskegon, MI 49441 | 2015-07-06 |
| 1114320595 | Mark Reider | Counselor | 3944 Grand Haven Rd Apt 204c, Norton Shores, MI 49441 | 2014-09-30 |
| 1679826002 | Kathleen M Dole | Social Worker | 800 E Ellis Rd Ste 222, Norton Shores, MI 49441 | 2012-10-23 |
| 1144523119 | Terri Lee Garza | Social Worker | 1095 Third St, Muskegon, MI 49441 | 2010-12-14 |
| Find all providers in zip 49441 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437197050 | Nancy Claire Devine | Psychiatry & Neurology | 2272 E. Apple Ave, Muskegon, MI 49442 | 2006-06-04 |
| 1962473082 | Greeley G Miklashek | Psychiatry & Neurology | 1735 Peck St, Muskegon, MI 49441-2507 | 2006-01-27 |
| 1306824321 | Gerald Nicholas Schmuker | Psychiatry & Neurology | 376 E Apple Ave, Muskegon, MI 49442-3466 | 2006-01-09 |
| 1780673525 | Gregory G Green | Psychiatry & Neurology | 376 Apple Ave, Suite 307, Muskegon, MI 49442-3466 | 2005-10-14 |
| 1790989192 | Katherine Jawor Do Pllc | Psychiatry & Neurology | 427 Seminole Rd, Suite 101, Muskegon, MI 49444-3747 | 2007-06-12 |
| 1972690253 | Zia Ahmed Khan | Psychiatry & Neurology | 376 E Apple Ave, Muskegon, MI 49442-3466 | 2006-10-06 |
| 1437259793 | Russel Verne Brubaker | Psychiatry & Neurology | 376 E Apple Ave, Muskegon, MI 49442-3466 | 2006-09-25 |
| 1801819016 | Isha Salva | Psychiatry & Neurology | 1700 Clinton St, Muskegon, MI 49442-5502 | 2006-07-26 |
| 1437192838 | Brian Sherwood Glynn | Psychiatry & Neurology | 1700 Clinton St, Muskegon, MI 49442-5502 | 2006-06-14 |
| 1376590489 | Virgilio F Vasquez | Psychiatry & Neurology | 1150 E Sherman Blvd, Muskegon, MI 49444-1871 | 2006-05-27 |
| Find all providers in MUSKEGON | ||||
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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.