Michael A Michelakis (NPI# 1235176249, PAC ID# 4981778701) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1235176249 |
| PAC ID by PECOS | 4981778701 |
| Professional Enrollment ID | I20080728000658 |
| Full Name | Michael A Michelakis |
| Organization Legal Name | PINE REST CHRISTIAN MENTAL HEALTH SERVICES |
| Address |
300 68th St Se Grand Rapids MI 49548-6927 |
| Phone Number | 6164555000 |
| Gender | M |
| Medical School | MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE |
| Graduation Year | 1992 |
| Primary Specialty | PSYCHIATRY |
| Group Practice PAC ID | 4981506508 |
| Number of Group Practice Members | 270 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230236 | METRO HEALTH HOSPITAL |
| 230059 | MERCY HEALTH SAINT MARY'S |
| 230038 | SPECTRUM HEALTH-BUTTERWORTH CAMPUS |
| Address | Phone | Organization |
|---|---|---|
| 300 68th St Se, Grand Rapids, MI 49548-6927 | 6164555000 | PINE REST CHRISTIAN MENTAL HEALTH SERVICES |
| 300 Se 68th St, Grand Rapids, MI 49548-6927 | 6164555000 | 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 |
300 68TH ST SE |
| City | GRAND RAPIDS |
| State | MI |
| Zip | 49548-6927 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Constance L Devantier | Psychologist, Clinical | Pine Rest Christian Mental Health Services | 300 68th St Se, Grand Rapids, MI 49548-6927 |
| Tamara D Spears | Clinical Social Worker | Pine Rest Christian Mental Health Services | 300 68th St Se, Grand Rapids, MI 49501-6927 |
| Sonia M Shariff | Psychiatry | Pine Rest Christian Mental Health Services | 300 68th St Se, Grand Rapids, MI 49548-6927 |
| Kimberly C Eccher | Physician Assistant | Pine Rest Christian Mental Health Services | 300 68th St Se, Grand Rapids, MI 49548-6927 |
| Amy J Laurent | Psychiatry | Pine Rest Christian Mental Health Services | 300 68th St Se, Grand Rapids, MI 49548-6927 |
| Sabreen Rae Polavin | Clinical Social Worker | Pine Rest Christian Mental Health Services | 300 68th St Se, Grand Rapids, MI 49501-6927 |
| Christopher M Bouma | Nurse Practitioner | Pine Rest Christian Mental Health Services | 300 68th St Se, Grand Rapids, MI 49548-6927 |
| Michelle J Berry | Physician Assistant | Pine Rest Christian Mental Health Services | 300 68th St Se, Grand Rapids, MI 49548-6927 |
| Rachel A Mcwilliams | Physician Assistant | Pine Rest Christian Mental Health Services | 300 68th St Se, Grand Rapids, MI 49548-6927 |
| Sera A Gruszka | Psychologist, Clinical | Pine Rest Christian Mental Health Services | 300 68th St Se, Grand Rapids, MI 49548-6927 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Florence L Keirnan | Psychiatry | Spectrum Community Services | 3353 Lousma Sedr, Wyoming, MI 49548-2251 |
| Donique C Kosters | Clinical Social Worker | Spectrum Community Services | 3353 Lousma Sedr, Wyoming, MI 49548-2251 |
| Debra R Kehr | Clinical Social Worker | 775 36th St Se, Work Skills Solutions, Grand Rapids, MI 49548-2319 | |
| Viet H Do | Plastic and Reconstructive Surgery | Metropolitan Hospital | 781 36th St Se, Metro Hlth Comm Clinic, Wyoming, MI 49548-2319 |
| Susan K Hicks | Obstetrics/gynecology | Metropolitan Hospital | 781 36th St Se, Metro Hlth Comm Clinic, Wyoming, MI 49548-2319 |
| Jeffrey D Postlewaite | Obstetrics/gynecology | Metropolitan Hospital | 781 36th St Se, Metro Hlth Comm Clinic, Wyoming, MI 49548-2319 |
| David J Boes | Obstetrics/gynecology | Metropolitan Hospital | 781 36th St Se, Metro Hlth Comm Clinic, Wyoming, MI 49548-2319 |
| Joel D Bates | Family Medicine | Metropolitan Hospital | 781 36th St Se, Metro Hlth Comm Clinic, Wyoming, MI 49548-2319 |
| Jennifer L Bennetts | Nurse Practitioner | Metropolitan Hospital | 781 36th St Se, Metro Hlth Comm Clinic, Wyoming, MI 49548-2319 |
| Garret W Caldwell | Family Medicine | Metropolitan Hospital | 781 36th St Se, Metro Hlth Comm Clinic, Wyoming, MI 49548-2319 |
| Find all physicians in zip 49548 | |||
| City | GRAND RAPIDS |
| Zip Code | 49548 |
| Specialty | PSYCHIATRY |
| City + Specialty | GRAND RAPIDS + PSYCHIATRY |
Please comment or provide details below to improve the information on Michael A Michelakis.
| 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.