Mon C Poulose (NPI# 1982835526, PAC ID# 5698919652) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1982835526 |
| PAC ID by PECOS | 5698919652 |
| Professional Enrollment ID | I20130913000436 |
| Full Name | Mon C Poulose |
| Organization Legal Name | PINE REST CHRISTIAN MENTAL HEALTH SERVICES |
| Address |
3225 N Evergreen Dr Grand Rapids MI 49525-9334 |
| Phone Number | 6163641500 |
| Gender | M |
| Graduation Year | 2001 |
| 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 |
|---|---|
| 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 |
| 3225 N Evergreen Dr, Grand Rapids, MI 49525-9334 | 6163641500 | PINE REST CHRISTIAN MENTAL HEALTH SERVICES |
| 3225 N Evergreen Dr Ne, Grand Rapids, MI 49525-9334 | 6163641500 | 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 |
3225 N EVERGREEN DR |
| City | GRAND RAPIDS |
| State | MI |
| Zip | 49525-9334 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ruqaiyah S Rogers | Clinical Social Worker | Pine Rest Christian Mental Health Services | 3225 N Evergreen Dr, Grand Rapids, MI 49525-9334 |
| Nicole M Schaaf | Clinical Social Worker | Pine Rest Christian Mental Health Services | 3225 N Evergreen Dr, Grand Rapids, MI 49525-9334 |
| Devinie M Sanders | Physician Assistant | Pine Rest Christian Mental Health Services | 3225 N Evergreen Dr, Grand Rapids, MI 49525-9334 |
| John P Riley | Physician Assistant | Pine Rest Christian Mental Health Services | 3225 N Evergreen Dr, Grand Rapids, MI 49525-9334 |
| Jennifer A Wolffis | Nurse Practitioner | Pine Rest Christian Mental Health Services | 3225 N Evergreen Dr, Grand Rapids, MI 49525-9334 |
| Sally J Verstraete | Clinical Social Worker | Pine Rest Christian Mental Health Services | 3225 N Evergreen Dr, Grand Rapids, MI 49525-9334 |
| William J Walters | Psychiatry | Pine Rest Christian Mental Health Services | 3225 N Evergreen Dr, Grand Rapids, MI 49525-9334 |
| Casilda R Maxwell | Psychologist, Clinical | Pine Rest Christian Mental Health Services | 3225 N Evergreen Dr, Pine Rest Northeast Clinic, Grand Rapids, MI 49525-9334 |
| Polina O Koptelova | Physician Assistant | Pine Rest Christian Mental Health Services | 3225 N Evergreen Dr, Grand Rapids, MI 49525-9334 |
| Mark R Steenwyk | Psychologist, Clinical | Pine Rest Christian Mental Health Services | 3225 N Evergreen Dr, Pine Rest Northeast Clinic, Grand Rapids, MI 49525-9334 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karen A Jacobs | Qualified Audiologist | Audio Vestibular Assessment, Inc | 5344 Plainfield Ave Ne, Suite 4, Grand Rapids, MI 49525-1009 |
| Carol A Byrne | Qualified Audiologist | Audio Vestibular Assessment, Inc | 5344 Plainfield Ave Ne, Suite 4, Grand Rapids, MI 49525-1009 |
| Amy L Buchanan | Optometry | Rx Optical Laboratories, Inc. | 5429 Northland Dr, Grand Rapids, MI 49525-1032 |
| Anthony W Danko | Optometry | Rx Optical Laboratories, Inc. | 5429 Northland Dr, Grand Rapids, MI 49525-1032 |
| Richard W Rozelle | Podiatry | Foot and Ankle Specialists of West Michigan Pllc | 5175 Plainfield Ave Ne, Grand Rapids, MI 49525-1048 |
| William R Decker | Podiatry | Foot and Ankle Specialists of West Michigan Pllc | 5175 Plainfield Ne, Grand Rapids, MI 49525-1048 |
| Patrick J Meyer | Podiatry | Foot and Ankle Specialists of West Michigan Pllc | 5175 Plainfield Ave Ne, Grand Rapids, MI 49525-1048 |
| Patrick G Holser | Optometry | 5378 Plainfield Ave Ne A, Grand Rapids, MI 49525-1053 | |
| Miranda Schmitt | Chiropractic | 5300 Northland Dr Ne F, Growing Family Chiropractic, Grand Rapids, MI 49525-1058 | |
| David Joseph Schwarz | Physical Therapy | Dynamic Movement and Recovery | 4950 Plainfield Ave Ne, Suite A, Grand Rapids, MI 49525-1059 |
| Find all physicians in zip 49525 | |||
| City | GRAND RAPIDS |
| Zip Code | 49525 |
| Specialty | PSYCHIATRY |
| City + Specialty | GRAND RAPIDS + PSYCHIATRY |
Please comment or provide details below to improve the information on Mon C Poulose.
| 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.