Gordon K Hare (NPI# 1619079589, PAC ID# 2769525765) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL PSYCHOLOGIST.
| Nation Provider ID (NPI) | 1619079589 |
| PAC ID by PECOS | 2769525765 |
| Professional Enrollment ID | I20100129000372 |
| Full Name | Gordon K Hare |
| Organization Legal Name | CHILD AND FAMILY PSYCHOLOGICAL SERVICES PC |
| Address |
1662 E Centre Ave Portage MI 49002-4496 |
| Phone Number | 2693218564 |
| Gender | M |
| Graduation Year | 1973 |
| Primary Specialty | CLINICAL PSYCHOLOGIST |
| Group Practice PAC ID | 8426037763 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1662 E Centre Ave, Portage, MI 49002-4496 | 2693218564 | CHILD AND FAMILY PSYCHOLOGICAL SERVICES PC |
| Organization Legal Name | CHILD AND FAMILY PSYCHOLOGICAL SERVICES PC |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristen Smith | Clinical Social Worker | Child and Family Psychological Services PC | 1662 E Centre Ave, Portage, MI 49002-4496 |
| David F Fatzinger | Psychologist, Clinical | Child and Family Psychological Services PC | 5340 Holiday Ter, Kalamazoo, MI 49009-2196 |
| Eileen S Chaffee | Psychologist, Clinical | Child and Family Psychological Services PC | 5340 Holiday Ter, Kalamazoo, MI 49009-2196 |
| Dawn L Vollink | Clinical Social Worker | Child and Family Psychological Services PC | 5340 Holiday Ter, Kalamazoo, MI 49009-2196 |
| Aaron J Wilson | Clinical Social Worker | Child and Family Psychological Services PC | 5340 Holiday Ter, Kalamazoo, MI 49009-2196 |
| Millicent M Perkins | Psychologist, Clinical | Child and Family Psychological Services PC | 5340 Holiday Ter, Kalamazoo, MI 49009-2196 |
| Nancy J Hein | Clinical Social Worker | Child and Family Psychological Services PC | 5340 Holiday Ter, Kalamazoo, MI 49009-2196 |
| Lawrence B Beer | Psychologist, Clinical | Child and Family Psychological Services PC | 5340 Holiday Ter, Kalamazoo, MI 49009-2196 |
| Ann E Muntter | Clinical Social Worker | Child and Family Psychological Services PC | 5340 Holiday Ter, Kalamazoo, MI 49009-2196 |
| Abbie J Vanderwege | Psychologist, Clinical | Child and Family Psychological Services PC | 1662 E Centre Ave, Portage, MI 49002-4496 |
| Street Address |
1662 E CENTRE AVE |
| City | PORTAGE |
| State | MI |
| Zip | 49002-4496 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristen Smith | Clinical Social Worker | Child and Family Psychological Services PC | 1662 E Centre Ave, Portage, MI 49002-4496 |
| Abbie J Vanderwege | Psychologist, Clinical | Child and Family Psychological Services PC | 1662 E Centre Ave, Portage, MI 49002-4496 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah B Kirn | Chiropractic | 609 E Centre, Smith Chiropractic, Portage, MI 49002 | |
| Bonnie M Wallace | Physician Assistant | Hometown Urgent Care of Michigan PC | 5142 S Westnedge Ave, Portage, MI 49002-0403 |
| Antwain D Allen | Nurse Practitioner | Hometown Urgent Care of Michigan PC | 5142 S Westnedge Ave, Portage, MI 49002-0403 |
| Amber N Heath | Physician Assistant | Hometown Urgent Care of Michigan PC | 5142 S Westnedge Ave, Portage, MI 49002-0403 |
| Joseph Zaki | Family Medicine | Hometown Urgent Care of Michigan PC | 5142 S Westnedge Ave, Portage, MI 49002-0403 |
| Michael D Voiles | Physician Assistant | Hometown Urgent Care of Michigan PC | 5142 S Westnedge Ave, Portage, MI 49002-0403 |
| Nicholas Scott La Penna | Physician Assistant | Bronson Methodist Hospital | 5121 S Westnedge Ave, Portage, MI 49002-0404 |
| Kelsey Prince | Nurse Practitioner | Bronson Methodist Hospital | 5121 S Westnedge Ave, Portage, MI 49002-0404 |
| Cynthia Ann Cretsinger | Physician Assistant | Bronson Methodist Hospital | 5121 S Westnedge Ave, Portage, MI 49002-0404 |
| David Lee Gose | Physician Assistant | Bronson Methodist Hospital | 5121 S Westnedge Ave, Portage, MI 49002-0404 |
| Find all physicians in zip 49002 | |||
| City | PORTAGE |
| Zip Code | 49002 |
| Specialty | CLINICAL PSYCHOLOGIST |
| City + Specialty | PORTAGE + CLINICAL PSYCHOLOGIST |
Please comment or provide details below to improve the information on Gordon K Hare.
| 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.