| Holland Hospital Behavioral Health Services - Outpatient | |
|
854 Washington Ave Ste 330 Holland MI 49423-7141 | |
| (616) 355-3926 | |
| (616) 393-6651 |
| Full Name | Holland Hospital Behavioral Health Services - Outpatient |
|---|---|
| Speciality | Clinic/Center |
| Location | 854 Washington Ave Ste 330, Holland, Michigan |
| Authorized Official Name and Position | Terry Steele (CFO) |
| Authorized Official Contact | 6163925141 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Holland Hospital Behavioral Health Services - Outpatient 602 Michigan Ave Holland MI 49423-4918 Ph: (616) 392-5141 | Holland Hospital Behavioral Health Services - Outpatient 854 Washington Ave Ste 330 Holland MI 49423-7141 Ph: (616) 355-3926 |
| NPI Number | 1780888099 |
|---|---|
| Provider Enumeration Date | 06/12/2007 |
| Last Update Date | 05/27/2021 |
| Certification Date | 05/27/2021 |
| Medicare PECOS PAC ID | 0446157291 |
|---|---|
| Medicare Enrollment ID | O20031218000484 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780888099 | NPI | - | NPPES |
| 7509104590 | Other | MI | BC OPC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | John Nicely |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215987367 PECOS PAC ID: 2365436276 Enrollment ID: I20040413001338 |
| Provider Name | Dale A Coller |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1992780258 PECOS PAC ID: 7416942263 Enrollment ID: I20040420000210 |
| Provider Name | Jason P Myers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396836862 PECOS PAC ID: 9032105903 Enrollment ID: I20040424000243 |
| Provider Name | Thomas W Kuhn |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235109372 PECOS PAC ID: 2466353941 Enrollment ID: I20040521000130 |
| Provider Name | William C Harris |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063521011 PECOS PAC ID: 6800870940 Enrollment ID: I20040616000059 |
| Provider Name | Kevin R Brader |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609807627 PECOS PAC ID: 8820068505 Enrollment ID: I20040729000733 |
| Provider Name | Philip N Velderman |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1366401325 PECOS PAC ID: 0244205151 Enrollment ID: I20040901001210 |
| Provider Name | Peter K Christensen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720007834 PECOS PAC ID: 7810957453 Enrollment ID: I20041018000589 |
| Provider Name | Kevin L Van Allen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154373249 PECOS PAC ID: 6901861269 Enrollment ID: I20041129000266 |
| Provider Name | Bobga S Fomunung |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700899010 PECOS PAC ID: 1153387667 Enrollment ID: I20041207000420 |
| Provider Name | Shanon D Walko |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316987498 PECOS PAC ID: 8325088370 Enrollment ID: I20050509000978 |
| Provider Name | Ritu Mathur |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1801833512 PECOS PAC ID: 2163467135 Enrollment ID: I20050621001052 |
| Provider Name | Michael Mott |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366493520 PECOS PAC ID: 1557262862 Enrollment ID: I20050804000453 |
| Provider Name | James R Dumerauf |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477693505 PECOS PAC ID: 0244261576 Enrollment ID: I20050826000330 |
| Provider Name | John Kimball Ludlow |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1710927728 PECOS PAC ID: 4880608330 Enrollment ID: I20060203000406 |
| Provider Name | Kelli Rae Lund |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689629693 PECOS PAC ID: 3779595236 Enrollment ID: I20060627000109 |
| Provider Name | Nnaemeka Ekekwe Egwuatu |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1588686695 PECOS PAC ID: 3971539982 Enrollment ID: I20061012000494 |
| Provider Name | Jeffrey J Fletcher |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1336252568 PECOS PAC ID: 1850352758 Enrollment ID: I20061116000580 |
| Provider Name | Barbara Jo Depree |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265417190 PECOS PAC ID: 8820002850 Enrollment ID: I20070122000534 |
| Provider Name | Ronald G Shook |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114141710 PECOS PAC ID: 4587761010 Enrollment ID: I20070517000671 |
| Provider Name | Joseph B Vandermeer |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1851329007 PECOS PAC ID: 6406850338 Enrollment ID: I20070530000235 |
| Provider Name | Timothy M Gezon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770541328 PECOS PAC ID: 0648263004 Enrollment ID: I20070604000042 |
| Provider Name | Boyd Kroeze |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619912540 PECOS PAC ID: 7911005772 Enrollment ID: I20070604000062 |
| Provider Name | Scott A Loos |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427006964 PECOS PAC ID: 4486752250 Enrollment ID: I20070604000154 |
| Provider Name | Douglas Hoey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710932546 PECOS PAC ID: 1850499526 Enrollment ID: I20070604000253 |
| Provider Name | Michael R Page |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609821081 PECOS PAC ID: 2062510464 Enrollment ID: I20070608000246 |
| Provider Name | Clint B Griffin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841350808 PECOS PAC ID: 3072612530 Enrollment ID: I20070625000069 |
| Provider Name | Tyler L Murphy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295869188 PECOS PAC ID: 4880795731 Enrollment ID: I20070723000628 |
| Provider Name | Matthew Boyd |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558580977 PECOS PAC ID: 0648371153 Enrollment ID: I20070727000791 |
| Provider Name | Luke H Vanklompenberg |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447453840 PECOS PAC ID: 8628158920 Enrollment ID: I20071227000317 |
| Provider Name | Mark Andrew Stid |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740243369 PECOS PAC ID: 3779659115 Enrollment ID: I20080908000595 |
| Provider Name | Karen L Foulds |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114980224 PECOS PAC ID: 4688740020 Enrollment ID: I20080909000176 |
| Provider Name | Branden L Bruhn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669411088 PECOS PAC ID: 2769540491 Enrollment ID: I20081023000589 |
| Provider Name | Randal S Baker |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1104867480 PECOS PAC ID: 3173687704 Enrollment ID: I20090127000438 |
| Provider Name | Timothy Conlon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043250129 PECOS PAC ID: 5496811531 Enrollment ID: I20090225000596 |
| Provider Name | Sanjeev Mathur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962459826 PECOS PAC ID: 0648336560 Enrollment ID: I20090302000303 |
| Provider Name | Paul Wahby |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952336455 PECOS PAC ID: 1951317759 Enrollment ID: I20090420000127 |
| Provider Name | Lani S Cantu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699966119 PECOS PAC ID: 9638227820 Enrollment ID: I20090427000559 |
| Provider Name | Julie M Kowacz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235231309 PECOS PAC ID: 4082767900 Enrollment ID: I20090724000409 |
| Provider Name | Brian N Dishinger |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1982727426 PECOS PAC ID: 6800949330 Enrollment ID: I20090731000392 |
| Provider Name | Ann M Monroe |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1750585006 PECOS PAC ID: 5395899777 Enrollment ID: I20090819000662 |
| Provider Name | Andrew P Jameson |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1770781890 PECOS PAC ID: 7012062003 Enrollment ID: I20090826000831 |
| Provider Name | Michael A Traver |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1740463702 PECOS PAC ID: 5092881888 Enrollment ID: I20091006000690 |
| Provider Name | Joni L Dehaan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932433828 PECOS PAC ID: 6608915400 Enrollment ID: I20091208000680 |
| Provider Name | Lindsey Michelle Ray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427387612 PECOS PAC ID: 1254475221 Enrollment ID: I20100215000799 |
| Provider Name | Jennifer L Solis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316276884 PECOS PAC ID: 9335277839 Enrollment ID: I20100504000276 |
| Provider Name | Garth B Rotman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174724793 PECOS PAC ID: 2769514348 Enrollment ID: I20100716000635 |
| Provider Name | Mitchell A Grohowski |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174709588 PECOS PAC ID: 4183819881 Enrollment ID: I20101108000770 |
| Provider Name | William Richard Houskamp |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1265498398 PECOS PAC ID: 2264503978 Enrollment ID: I20101207001021 |
| Provider Name | Christopher Howell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871610493 PECOS PAC ID: 5092994004 Enrollment ID: I20110124000422 |
| Provider Name | Emily B Kehrwecker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538283171 PECOS PAC ID: 1254510191 Enrollment ID: I20110125000794 |
| Provider Name | Derick M Johnson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1972768232 PECOS PAC ID: 0244382851 Enrollment ID: I20110210001175 |
| Provider Name | Daniel J Decook |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1396702312 PECOS PAC ID: 8628149333 Enrollment ID: I20110302000767 |
| Provider Name | Jillian A Lankford |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114118510 PECOS PAC ID: 7113197427 Enrollment ID: I20110824000253 |
| Provider Name | Matthew Fletcher |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942409677 PECOS PAC ID: 8628194461 Enrollment ID: I20110829000548 |
| Provider Name | Corie M Eklov |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295936524 PECOS PAC ID: 8325219298 Enrollment ID: I20110926000605 |
| Provider Name | Thomas Brozovich |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437248341 PECOS PAC ID: 0244495935 Enrollment ID: I20120702000408 |
| Provider Name | Christina A Johnston |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1659519296 PECOS PAC ID: 8325204761 Enrollment ID: I20120730000385 |
| Provider Name | Courtney M Erickson-adams |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1093943771 PECOS PAC ID: 9830323005 Enrollment ID: I20131002000429 |
| Provider Name | Amanda S Nies |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1639307093 PECOS PAC ID: 0345474441 Enrollment ID: I20131003000110 |
| Provider Name | Jessica M Hafner |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1902065287 PECOS PAC ID: 2668606724 Enrollment ID: I20131004000184 |
| Provider Name | Joseph K Postma |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962790170 PECOS PAC ID: 9638304140 Enrollment ID: I20131107001754 |
| Provider Name | Kristen L Sumners |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790071652 PECOS PAC ID: 6507009396 Enrollment ID: I20140602000191 |
| Provider Name | Michelle Marie Telemaque |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1063816494 PECOS PAC ID: 4486875093 Enrollment ID: I20141024000279 |
| Provider Name | Sarah Marie Lagrand |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1811319858 PECOS PAC ID: 0143544510 Enrollment ID: I20150114000551 |
| Provider Name | Nathan D Wass |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568725190 PECOS PAC ID: 8325280175 Enrollment ID: I20150310001953 |
| Provider Name | Peter K Hoekman |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1639495690 PECOS PAC ID: 7214177039 Enrollment ID: I20150708002138 |
| Provider Name | Jeremy Bushman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1699088906 PECOS PAC ID: 8820227309 Enrollment ID: I20150716000745 |
| Provider Name | Matthew W Hilton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699061564 PECOS PAC ID: 2466694062 Enrollment ID: I20150803000352 |
| Provider Name | Hannah E Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245614726 PECOS PAC ID: 2062728512 Enrollment ID: I20150831000364 |
| Provider Name | Grace Lee |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1508249129 PECOS PAC ID: 6406163344 Enrollment ID: I20150910000138 |
| Provider Name | Katie Vanheck |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1124491964 PECOS PAC ID: 9335443688 Enrollment ID: I20160205001351 |
| Provider Name | Hrishabh Modi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619219128 PECOS PAC ID: 1951691716 Enrollment ID: I20160607000900 |
| Provider Name | Ryan M Langley |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699112193 PECOS PAC ID: 0345559159 Enrollment ID: I20160808000439 |
| Provider Name | Thomas P Pfotenhauer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457796229 PECOS PAC ID: 5294044061 Enrollment ID: I20160808000566 |
| Provider Name | Nathan Salinas |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1508061722 PECOS PAC ID: 2961796289 Enrollment ID: I20160810000296 |
| Provider Name | Daniel Mortensen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447660931 PECOS PAC ID: 7911223128 Enrollment ID: I20160915002030 |
| Provider Name | Lydia J Sutton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427500578 PECOS PAC ID: 9739467663 Enrollment ID: I20161028000185 |
| Provider Name | Barbara Vandermale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124435276 PECOS PAC ID: 5698053015 Enrollment ID: I20161104001418 |
| Provider Name | Stephanie A Branam |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1750642831 PECOS PAC ID: 1759601594 Enrollment ID: I20170117000253 |
| Provider Name | Gregg T Malicke |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417211087 PECOS PAC ID: 5991089401 Enrollment ID: I20170313001231 |
| Provider Name | Erin Wisniewski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215464771 PECOS PAC ID: 4183991631 Enrollment ID: I20170605000799 |
| Provider Name | Karl Zahlmann Nadolsky |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1053567743 PECOS PAC ID: 0244478766 Enrollment ID: I20170608000394 |
| Provider Name | Carlyn Ann Hoeppner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447678115 PECOS PAC ID: 1153627872 Enrollment ID: I20170802002832 |
| Provider Name | Andrew J Schrotenboer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427430842 PECOS PAC ID: 4587971445 Enrollment ID: I20171129000178 |
| Provider Name | Muhammad Ahmad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184016073 PECOS PAC ID: 4284919655 Enrollment ID: I20171221000045 |
| Provider Name | Jennifer R Jarrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033623699 PECOS PAC ID: 0547523565 Enrollment ID: I20180404001263 |
| Provider Name | Jamie Marie Wadaga |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1588158786 PECOS PAC ID: 5395091086 Enrollment ID: I20180711001238 |
| Provider Name | Lindsay K Roberts |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1649765959 PECOS PAC ID: 3678821576 Enrollment ID: I20180809001152 |
| Provider Name | Jennifer Boven |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528534716 PECOS PAC ID: 8123367760 Enrollment ID: I20190226003359 |
| Provider Name | Michael Borenitsch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407207376 PECOS PAC ID: 0941533517 Enrollment ID: I20190613001199 |
| Provider Name | Carli Donnelly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013371202 PECOS PAC ID: 5799075495 Enrollment ID: I20190731003688 |
| Provider Name | Donald Charles Mcmillan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831465376 PECOS PAC ID: 1254578461 Enrollment ID: I20190830001475 |
| Provider Name | Lori L Schermers |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1174582340 PECOS PAC ID: 7810226743 Enrollment ID: I20190903000247 |
| Provider Name | Jason Christopher Cornell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780034090 PECOS PAC ID: 8527350446 Enrollment ID: I20190904000667 |
| Provider Name | Laura Norder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801440052 PECOS PAC ID: 9335471218 Enrollment ID: I20191025000729 |
| Provider Name | Erin Rene Vochaska |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407407547 PECOS PAC ID: 1557693108 Enrollment ID: I20191030003426 |
| Provider Name | Devin Richards Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013563204 PECOS PAC ID: 3072948355 Enrollment ID: I20200114002567 |
| Provider Name | Rachel A Vandyke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235502444 PECOS PAC ID: 9335440015 Enrollment ID: I20200414002720 |
| Provider Name | Cale M Sebald |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1609281401 PECOS PAC ID: 4385068303 Enrollment ID: I20200723002426 |
| Provider Name | Danielle M Robinett |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1437543311 PECOS PAC ID: 7214249101 Enrollment ID: I20200731000128 |
| Provider Name | Toby Lees |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1013120633 PECOS PAC ID: 4981848017 Enrollment ID: I20200813001991 |
| Provider Name | Emily Sue Prevo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538696034 PECOS PAC ID: 3870861602 Enrollment ID: I20200813002214 |
| Provider Name | Timothy J Mcdonald |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1902059504 PECOS PAC ID: 3375895543 Enrollment ID: I20200901002497 |
| Provider Name | Daniel J Maring |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548780398 PECOS PAC ID: 0749559508 Enrollment ID: I20200928001995 |
| Provider Name | Lindsey Ellen Jonker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134666332 PECOS PAC ID: 8325467822 Enrollment ID: I20201002000512 |
| Provider Name | Cassondra Wass |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093240103 PECOS PAC ID: 8022438746 Enrollment ID: I20201020000099 |
| Provider Name | Megan N Ourensma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841813862 PECOS PAC ID: 6103236419 Enrollment ID: I20201027002703 |
| Provider Name | Lauren Mcgraw |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124558168 PECOS PAC ID: 2466862586 Enrollment ID: I20201030002403 |
| Provider Name | Domenique Tamminga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295359545 PECOS PAC ID: 6406269281 Enrollment ID: I20210115002154 |
| Provider Name | Janessa C Engelhard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619562857 PECOS PAC ID: 4385051051 Enrollment ID: I20210324002049 |
| Provider Name | Breanna Beth Ray |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1588242952 PECOS PAC ID: 3375951213 Enrollment ID: I20210414001880 |
| Provider Name | Patricia V Roehling |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1265586648 PECOS PAC ID: 5799940722 Enrollment ID: I20210528001488 |
| Provider Name | David Joseph Kozminski |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1306208533 PECOS PAC ID: 4688913452 Enrollment ID: I20210628001750 |
| Provider Name | Jennifer L Morrical |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538692322 PECOS PAC ID: 0749524163 Enrollment ID: I20210722001194 |
| Provider Name | Lorene Dreisbach |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366962664 PECOS PAC ID: 4082983861 Enrollment ID: I20210825002144 |
| Provider Name | Brett Thomas Vander Baan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346735784 PECOS PAC ID: 7113274457 Enrollment ID: I20211004000506 |
| Provider Name | Phillip Daniel Guajardo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487071692 PECOS PAC ID: 9931597630 Enrollment ID: I20211029001331 |
| Provider Name | Daniel M Tuinstra |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710484274 PECOS PAC ID: 4486901857 Enrollment ID: I20211115002178 |
| Provider Name | Cherie Ranee Hull |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619549276 PECOS PAC ID: 0446640130 Enrollment ID: I20211213001728 |
| Provider Name | Sarah Jane Maybury |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912679267 PECOS PAC ID: 6608267992 Enrollment ID: I20211221001236 |
| Provider Name | Michael Joseph Lamphere |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134888506 PECOS PAC ID: 1557753555 Enrollment ID: I20220125002766 |
| Provider Name | Samuel A Maluil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245662436 PECOS PAC ID: 5991092934 Enrollment ID: I20220228001652 |
| Provider Name | Jeffrey Beauregard |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1710480967 PECOS PAC ID: 9032466271 Enrollment ID: I20220726001153 |
| Provider Name | Sean O'neill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336707918 PECOS PAC ID: 5698008548 Enrollment ID: I20220726001263 |
| Provider Name | David Jon Blystra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508328014 PECOS PAC ID: 0749514479 Enrollment ID: I20220811000257 |
| Provider Name | Cory Meeuwsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336879378 PECOS PAC ID: 3870976673 Enrollment ID: I20220811000942 |
| Provider Name | Amy Boren |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003307919 PECOS PAC ID: 2062769276 Enrollment ID: I20220916002970 |
| Provider Name | Tanveer Hussain |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1942669817 PECOS PAC ID: 8224362108 Enrollment ID: I20221026001965 |
| Provider Name | Joshua Snyder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376262550 PECOS PAC ID: 2769850940 Enrollment ID: I20221118001380 |
| Provider Name | Kristina Snyder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396468120 PECOS PAC ID: 6204205578 Enrollment ID: I20221208000216 |
| Provider Name | Kevin M Simsick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497467799 PECOS PAC ID: 6507237989 Enrollment ID: I20230123000786 |
| Provider Name | Jeremy Marc Tenbrink |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659084622 PECOS PAC ID: 8325411101 Enrollment ID: I20230224002176 |
| Provider Name | Marta Byma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609448364 PECOS PAC ID: 7113383399 Enrollment ID: I20230512001315 |
| Provider Name | Janelle Veenstra |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1861842288 PECOS PAC ID: 0244668358 Enrollment ID: I20230616001280 |
| Provider Name | Michael David Foster |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013578145 PECOS PAC ID: 6305175126 Enrollment ID: I20230925000808 |
| Provider Name | Breck Reinsma |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1538552484 PECOS PAC ID: 0941646863 Enrollment ID: I20240313002309 |
Counseling & Consultation Resources Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 720 E 8th St, Suite 2, Holland, MI 49423 Phone: 616-355-0549 Fax: 616-355-0480 | |
Comprehensive Psyiatric Services Of Western Mi Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 12978 James Street, Ste 10, Holland, MI 49424 Phone: 616-399-7005 Fax: 616-399-7150 | |
Benjamin's Hope Life Enrichment Program Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 15468 Riley St, Holland, MI 49424 Phone: 616-399-6293 | |
Center For Family Development Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 347 Hoover Blvd, Suite A, Holland, MI 49423 Phone: 616-392-7695 Fax: 616-392-6955 | |
Holland Community Hospital Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3235 Wellness Dr, Holland, MI 49424 Phone: 616-392-5141 | |
Daniel G. Rooks, Psy.d., P.c. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3124 N Wellness Dr, Suite 30, Holland, MI 49424 Phone: 616-786-3350 Fax: 616-786-3375 | |
Ck Psychological Associates, P.c. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 246 S River Ave, Suite 105, Holland, MI 49423 Phone: 616-494-0808 Fax: 616-494-0011 |