| Guided Development Family Psychiatric Care, Plc | |
|
701 E Savidge St Ste 6 Spring Lake MI 49456-2418 | |
| (616) 566-5441 | |
| Not Available |
| Full Name | Guided Development Family Psychiatric Care, Plc |
|---|---|
| Speciality | Clinic/Center |
| Location | 701 E Savidge St Ste 6, Spring Lake, Michigan |
| Authorized Official Name and Position | Gerald Nicholas Schmuker (OWNER) |
| Authorized Official Contact | 6169702743 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Guided Development Family Psychiatric Care, Plc 701 E Savidge St Ste 6 Spring Lake MI 49456-2418 Ph: (616) 970-2743 | Guided Development Family Psychiatric Care, Plc 701 E Savidge St Ste 6 Spring Lake MI 49456-2418 Ph: (616) 566-5441 |
| NPI Number | 1053973172 |
|---|---|
| Provider Enumeration Date | 06/29/2019 |
| Last Update Date | 01/09/2024 |
| Certification Date | 01/09/2024 |
| Medicare PECOS PAC ID | 7315366135 |
|---|---|
| Medicare Enrollment ID | O20200929000467 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053973172 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
| Provider Name | Gerald N Schmuker |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306824321 PECOS PAC ID: 1850657230 Enrollment ID: I20171117002925 |
| Provider Name | Nicole Renee Koch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912623158 PECOS PAC ID: 8022487834 Enrollment ID: I20221216000954 |
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