Shelley R Tindall (NPI# 1093863243, PAC ID# 1951477611) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1093863243 |
| PAC ID by PECOS | 1951477611 |
| Professional Enrollment ID | I20080903000294 |
| Full Name | Shelley R Tindall |
| Organization Legal Name | PINE REST CHRISTIAN MENTAL HEALTH SERVICES |
| Address |
1350 W Centre Ave Suite 210 Portage MI 49024-5361 |
| Phone Number | 2699107327 |
| Gender | F |
| Graduation Year | 1985 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 4981506508 |
| Number of Group Practice Members | 270 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 300 68th St Se, Grand Rapids, MI 49501-6927 | 6164555000 | PINE REST CHRISTIAN MENTAL HEALTH SERVICES |
| 1350 W Centre Ave, Suite 210, Portage, MI 49024-5361 | 2699107327 | PINE REST CHRISTIAN MENTAL HEALTH SERVICES |
| Organization Legal Name | PINE REST CHRISTIAN MENTAL HEALTH SERVICES |
| Physicians | 326 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Faith J Huyck | Nurse Practitioner | Pine Rest Christian Mental Health Services | 1050 Silver Dr, Traverse City, MI 49684-5749 |
| Morgan K Bailey | Nurse Practitioner | Pine Rest Christian Mental Health Services | 2118 3 Mile Nwrd, Grand Rapids, MI 49544-1425 |
| Justin D Sides | Psychologist, Clinical | Pine Rest Christian Mental Health Services | 2118 3 Mile Rd Nw, Pine Rest Northwest Clinic, Grand Rapids, MI 49544-1452 |
| Colette R Purucker | Clinical Social Worker | Pine Rest Christian Mental Health Services | 450 Meadow Run Dr, Hastings, MI 49058-9053 |
| Diana B Ro | Psychologist, Clinical | Pine Rest Christian Mental Health Services | 4211 Pkwy Place Dr Sw, Grandville, MI 49418-2695 |
| Joshua A Godfrey | Clinical Social Worker | Pine Rest Christian Mental Health Services | 320 Commerce Ave Sw, Pine Rest Demay Clinic, Grand Rapids, MI 49503-4110 |
| Therese L Boggiano | Nurse Practitioner | Pine Rest Christian Mental Health Services | 926 Washington Ave, Holland, MI 49423-7725 |
| Carey A Cutcher | Clinical Social Worker | Pine Rest Christian Mental Health Services | 17325 Van Wagoner Rd, Spring Lake, MI 49456-9702 |
| Lindsay M Fikkert | Psychologist, Clinical | Pine Rest Christian Mental Health Services | 2611 Washington St, Pella, IA 50219-7924 |
| Christine A Mushlock | Clinical Social Worker | Pine Rest Christian Mental Health Services | 877 Forest Hills Ave Se, Pine Rest Forest Hills Clinic, Grand Rapids, MI 49546 |
| Street Address |
1350 W CENTRE AVE SUITE 210 |
| City | PORTAGE |
| State | MI |
| Zip | 49024-5361 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Megan C Freed | Clinical Social Worker | Pine Rest Christian Mental Health Services | 1350 W Centre Ave, Suite 210, Portage, MI 49024-5361 |
| Kevin A Kunzer | Psychiatry | Pine Rest Christian Mental Health Services | 1350 W Centre Ave, Portage, MI 49024-5361 |
| Barbara S Palkowski | Nurse Practitioner | Pine Rest Christian Mental Health Services | 1350 W Centre Ave, Portage, MI 49024-5361 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael David Mccallister | Nurse Practitioner | Southern Michigan Pain Consultants PC | 3770 Glenkerry Ct, Portage, MI 49024-0700 |
| Christine A Berry | Audiologist | Three Rivers Health System Inc | 3850 Glenkerry Ct, Portage, MI 49024-0700 |
| Michael T Kolinski | Osteopathic Manipulative Medicine | Southern Michigan Pain Consultants PC | 3770 Glenkerry Ct, Portage, MI 49024-0700 |
| Matthew Lars Kuiper | Pain Management | Southern Michigan Pain Consultants PC | 3770 Glenkerry Ct, Portage, MI 49024-0700 |
| Alessandra R Chatson | Nurse Practitioner | Southern Michigan Pain Consultants PC | 3770 Glenkerry Ct, Portage, MI 49024-0700 |
| Barton W Wild | Pain Management | Southern Michigan Pain Consultants PC | 3770 Glenkerry Ct, Portage, MI 49024-0700 |
| Laythen Young | Physical Therapy | Southern Michigan Pain Consultants PC | 3770 Glenkerry Ct, Portage, MI 49024-0700 |
| Thomas Raymond Ulrich | Physician Assistant | Southern Michigan Pain Consultants PC | 3770 Glenkerry Ct, Portage, MI 49024-0700 |
| Joel L Bez | Pain Management | Southern Michigan Pain Consultants PC | 3770 Glenkerry Ct, Portage, MI 49024-0700 |
| Nancy Ambs | Nurse Practitioner | Southern Michigan Pain Consultants PC | 3770 Glenkerry Ct, Portage, MI 49024-0700 |
| Find all physicians in zip 49024 | |||
| City | PORTAGE |
| Zip Code | 49024 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | PORTAGE + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Shelley R Tindall.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.