| Hope Network S E | |
|
1110 Eldon Baker Dr Flint MI 48507-1923 | |
| (248) 338-7458 | |
| (248) 338-7513 |
| Full Name | Hope Network S E |
|---|---|
| Speciality | Clinic/Center |
| Location | 1110 Eldon Baker Dr, Flint, Michigan |
| Authorized Official Name and Position | Timothy Becker (COO) |
| Authorized Official Contact | 6163018000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hope Network S E 3075 Orchard Vista Dr Se Grand Rapids MI 49546-7069 Ph: (616) 301-8000 | Hope Network S E 1110 Eldon Baker Dr Flint MI 48507-1923 Ph: (248) 338-7458 |
| NPI Number | 1609859537 |
|---|---|
| Provider Enumeration Date | 11/23/2005 |
| Last Update Date | 05/31/2024 |
| Certification Date | 05/31/2024 |
| Medicare PECOS PAC ID | 8628159936 |
|---|---|
| Medicare Enrollment ID | O20080112000036 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609859537 | NPI | - | NPPES |
| Provider Name | David K Harris |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497799951 PECOS PAC ID: 9537137195 Enrollment ID: I20040921000951 |
| Provider Name | Sandra K Fringer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639295934 PECOS PAC ID: 0648202911 Enrollment ID: I20050907000966 |
| Provider Name | Kiran Kk Taylor |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306945035 PECOS PAC ID: 2466545363 Enrollment ID: I20070910000178 |
| Provider Name | Yolanda D Giles |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1942382502 PECOS PAC ID: 1254408446 Enrollment ID: I20080930000689 |
| Provider Name | Melinda K Ryde |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548387061 PECOS PAC ID: 3779645528 Enrollment ID: I20090105000020 |
| Provider Name | Jillaine Ruppel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780816520 PECOS PAC ID: 9931255106 Enrollment ID: I20090914000607 |
| Provider Name | Meghan E Slater |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871877092 PECOS PAC ID: 9739308719 Enrollment ID: I20140924001933 |
| Provider Name | Stephanie Y Lim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912414756 PECOS PAC ID: 7911260484 Enrollment ID: I20180416000184 |
| Provider Name | Myele L Williamson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164998431 PECOS PAC ID: 3971848136 Enrollment ID: I20181218000072 |
| Provider Name | Lauren M Mcgrail |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619465499 PECOS PAC ID: 4789072448 Enrollment ID: I20211028002909 |
| Provider Name | Terry A Hunter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588321020 PECOS PAC ID: 6204215692 Enrollment ID: I20220615000431 |
| Provider Name | Michael W Victor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508504986 PECOS PAC ID: 2264812692 Enrollment ID: I20220701001821 |
| Provider Name | Deola Saheed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972008381 PECOS PAC ID: 5799185989 Enrollment ID: I20230211000309 |
| Provider Name | Katherine Sophia Gauthier |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1770282105 PECOS PAC ID: 8820461320 Enrollment ID: I20230303000940 |
| Provider Name | Jacqulyn Richardson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285092445 PECOS PAC ID: 0244695963 Enrollment ID: I20230503000572 |
| Provider Name | Kala Pozivilko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669042990 PECOS PAC ID: 0345638052 Enrollment ID: I20230712003074 |
| Provider Name | Aaron Hynes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720472475 PECOS PAC ID: 3476901935 Enrollment ID: I20231122002171 |
| Provider Name | Linda Johnson-mcclendon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336561281 PECOS PAC ID: 8628426020 Enrollment ID: I20231125000040 |
| Provider Name | Kayonna S Ferguson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1548474752 PECOS PAC ID: 0345698403 Enrollment ID: I20231129003433 |
| Provider Name | Steven J Vimr |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1437747631 PECOS PAC ID: 2567811664 Enrollment ID: I20231222000967 |
| Provider Name | Lisa Marie Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346927969 PECOS PAC ID: 7810337078 Enrollment ID: I20240504000294 |
| Provider Name | Elizabeth Yvette Keaton |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1902656317 PECOS PAC ID: 7214378371 Enrollment ID: I20240507004398 |
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