| Forest View Psychiatric Hospital Inc | |
|
1055 Medical Park Dr Se Grand Rapids MI 49546-3671 | |
| (616) 942-9610 | |
| Not Available |
| Full Name | Forest View Psychiatric Hospital Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1055 Medical Park Dr Se, Grand Rapids, Michigan |
| Authorized Official Name and Position | Steve Filton (CFO/SVP) |
| Authorized Official Contact | 6107683300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Forest View Psychiatric Hospital Inc Po Box 1969 Grand Rapids MI 49501 Ph: (800) 968-6866 | Forest View Psychiatric Hospital Inc 1055 Medical Park Dr Se Grand Rapids MI 49546-3671 Ph: (616) 942-9610 |
| NPI Number | 1902808272 |
|---|---|
| Provider Enumeration Date | 06/01/2005 |
| Last Update Date | 02/03/2014 |
| Medicare PECOS PAC ID | 6709980907 |
|---|---|
| Medicare Enrollment ID | O20070328000193 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902808272 | NPI | - | NPPES |
| 260D110710 | Other | MI | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 1111111 (Michigan) | Primary |
| Provider Name | Russel V Brubaker |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437259793 PECOS PAC ID: 2860442274 Enrollment ID: I20050124000893 |
| Provider Name | Dhanashree T Mahesh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912081589 PECOS PAC ID: 7719914092 Enrollment ID: I20050719000215 |
| Provider Name | Joan Marie Vansolkema |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669451027 PECOS PAC ID: 2264448620 Enrollment ID: I20060224000349 |
| Provider Name | Vajendra Desai |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629040852 PECOS PAC ID: 9638157522 Enrollment ID: I20060224000365 |
| Provider Name | Sachin B Nagarkar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518982651 PECOS PAC ID: 1658394531 Enrollment ID: I20060419000745 |
| Provider Name | James A Vanharen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114901840 PECOS PAC ID: 3375648595 Enrollment ID: I20070417000608 |
| Provider Name | Jahandar Bazarjhan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497901110 PECOS PAC ID: 3375727506 Enrollment ID: I20110412000630 |
| Provider Name | Aaliyah H Seifullah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174752281 PECOS PAC ID: 6800048406 Enrollment ID: I20121205000498 |
| Provider Name | Wael Shamseddeen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346479086 PECOS PAC ID: 0042444747 Enrollment ID: I20131011001700 |
| Provider Name | Natalya Bronson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841377264 PECOS PAC ID: 2264451665 Enrollment ID: I20140821001327 |
| Provider Name | Rachel Owen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669025888 PECOS PAC ID: 1153651153 Enrollment ID: I20190917003766 |
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