Michigan Behavioral Consultants Pc in Grand Rapids - Psychologist
Michigan Behavioral Consultants Pc - NPI 1336153220
Michigan Behavioral Consultants Pc is a Psychologist in Grand Rapids, Michigan. Michigan Behavioral Consultants Pc practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Michigan Behavioral Consultants Pc is 1336153220. The last update date is 2021-03-30.
Michigan Behavioral Consultants Pc's current location address is 5555 Glenwood Hills Pkwy Se Ste 2, Grand Rapids, Michigan. You can contact this provider via phone number 6169402662 and fax number 6169401965. The mailing address for Michigan Behavioral Consultants Pc is 5555 Glenwood Hills Pkwy Se Ste 2, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Michigan Behavioral Consultants Pc |
|---|---|
| Address | 5555 Glenwood Hills Pkwy Se Ste 2, Grand Rapids, Michigan |
| Phone Number | 6169402662 |
| Fax Number | 6169401965 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Willmarth Eric |
| Credentials | PHD |
| Telephone Number | 6162851377 |
NPI Number Detail
| NPI Number | 1336153220 |
|---|---|
| Provider Enumeration Date | 2006-07-28 |
| Last Updated Date | 2021-03-30 |
Provider Mailing Address Detail
| Address | 5555 Glenwood Hills Pkwy Se Ste 2 |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495122091 |
| Phone Number | 6169402662 |
| Fax Number | 6169401965 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 680D111357 | MI | BLUE CROSS BLUE SHIELD |
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What is the unique identifier code issued to Michigan Behavioral Consultants Pc by the Centers for Medicare & Medicaid Services?
The Michigan Behavioral Consultants Pc has been assigned the NPI (National Provider Identifier) 1336153220. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Michigan Behavioral Consultants Pc located?
The Michigan Behavioral Consultants Pc is located at 5555 Glenwood Hills Pkwy Se Ste 2, Grand Rapids, MI 495122091.
What is Michigan Behavioral Consultants Pc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Michigan Behavioral Consultants Pc is Psychologist, and the corresponding taxonomy classification code for this specialized field is 103T00000X.
On what date did the Michigan Behavioral Consultants Pc receive its 1336153220 assignment from the Centers for Medicare & Medicaid Services?
The Michigan Behavioral Consultants Pc was assigned its 1336153220 by the Centers for Medicare & Medicaid Services on 2006-07-28.
When was the information pertaining to Michigan Behavioral Consultants Pc most recently updated or revised?
The details related to Michigan Behavioral Consultants Pc, including its address, specialty, and other relevant information, were last updated or revised on 2021-03-30.