| Jenison Psychological Services Of Michigan | |
|
1836 Baldwin St Jenison MI 49428-8901 | |
| (616) 457-0016 | |
| Not Available |
| Full Name | Jenison Psychological Services Of Michigan |
|---|---|
| Speciality | Psychologist |
| Location | 1836 Baldwin St, Jenison, Michigan |
| Authorized Official Name and Position | Leslie Johnson (CEO) |
| Authorized Official Contact | 7045066267 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jenison Psychological Services Of Michigan 11000 Optum Cir Eden Prairie MN 55344-2503 Ph: (616) 457-0016 | Jenison Psychological Services Of Michigan 1836 Baldwin St Jenison MI 49428-8901 Ph: (616) 457-0016 |
| NPI Number | 1700648953 |
|---|---|
| Provider Enumeration Date | 01/24/2024 |
| Last Update Date | 03/13/2024 |
| Certification Date | 03/13/2024 |
| Medicare PECOS PAC ID | 0941648463 |
|---|---|
| Medicare Enrollment ID | O20240418001763 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700648953 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Primary |
| Provider Name | Michelle A Oursler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992756142 PECOS PAC ID: 7012994718 Enrollment ID: I20040701000059 |
| Provider Name | Nicole Ogier New |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912446048 PECOS PAC ID: 9931504586 Enrollment ID: I20210820000836 |
| Provider Name | Philip Gastineau |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780172494 PECOS PAC ID: 1153772710 Enrollment ID: I20240108004397 |
| Provider Name | Caroline Ray |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073103628 PECOS PAC ID: 2961853387 Enrollment ID: I20240110003401 |
| Provider Name | Robert Gerard Johnson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255465258 PECOS PAC ID: 3173974599 Enrollment ID: I20240110003645 |
| Provider Name | Ann Dadah |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780030072 PECOS PAC ID: 8426400029 Enrollment ID: I20240119000418 |
| Provider Name | Margaret Cohen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093272395 PECOS PAC ID: 9537508304 Enrollment ID: I20240413000448 |
Renee Rose, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2084 Pinewood St, Jenison, MI 49428 Phone: 616-888-5585 | |
Dr Edward Schmitt And Dr Marie Mckay Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1551 Caprice Dr, Jenison, MI 49428 Phone: 616-901-3696 | |
Dr. Marie A Mckay Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1362 Baldwin St, Jenison, MI 49428 Phone: 616-901-3635 | |
Pacific Counseling Services Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7689 Riverview Dr Apt 101, Jenison, MI 49428 Phone: 616-299-5146 | |
Jenison Psychological Services Of Michigan Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1836 Baldwin St, Jenison, MI 49428 Phone: 616-457-0016 | |
Tahoma Counseling Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1346 Baldwin St # 13, Jenison, MI 49428 Phone: 616-765-8585 | |
Compassionate Counseling And Practical Solutions, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8596 Meadowbrook Dr, Jenison, MI 49428 Phone: 616-920-0479 |