| Brains | |
|
3292 Evergreen Dr Ne Grand Rapids MI 49525-9580 | |
| (616) 365-8920 | |
| (616) 365-8971 |
| Full Name | Brains |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 3292 Evergreen Dr Ne, Grand Rapids, Michigan |
| Authorized Official Name and Position | Michael Paul Wolff (CLINICAL NEUROPSYCHOLOGIST) |
| Authorized Official Contact | 6163658920 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brains 3292 Evergreen Dr Ne Grand Rapids MI 49525-9580 Ph: (616) 365-8920 | Brains 3292 Evergreen Dr Ne Grand Rapids MI 49525-9580 Ph: (616) 365-8920 |
| NPI Number | 1023169182 |
|---|---|
| Provider Enumeration Date | 01/16/2007 |
| Last Update Date | 03/22/2016 |
| Medicare PECOS PAC ID | 5597816157 |
|---|---|
| Medicare Enrollment ID | O20090623000082 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023169182 | NPI | - | NPPES |
| Provider Name | Michelle F Davis-vanarnam |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407909765 PECOS PAC ID: 0648344630 Enrollment ID: I20080808000807 |
| Provider Name | Michael P Wolff |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1528147360 PECOS PAC ID: 3476604034 Enrollment ID: I20150714002339 |
| Provider Name | Jessica L Manning |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1134410434 PECOS PAC ID: 9335439124 Enrollment ID: I20160607001861 |
| Provider Name | Thomas J Denczek |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568502664 PECOS PAC ID: 4880921642 Enrollment ID: I20190816001210 |
| Provider Name | Draycen Decator |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1447738877 PECOS PAC ID: 1557691474 Enrollment ID: I20190919000782 |
| Provider Name | Shelby Joanne Chorny |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487102315 PECOS PAC ID: 2264845379 Enrollment ID: I20210111001393 |
| Provider Name | Emily Westerbeek |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1760912224 PECOS PAC ID: 6507279262 Enrollment ID: I20210119002919 |
| Provider Name | Jesse J Piehl |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1184172496 PECOS PAC ID: 1557762770 Enrollment ID: I20210625000911 |
| Provider Name | Nicole Taylor Olivas |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1902318165 PECOS PAC ID: 0446656250 Enrollment ID: I20210902001003 |
| Provider Name | Emely Javier |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1962166975 PECOS PAC ID: 2860880630 Enrollment ID: I20211027002310 |
| Provider Name | Stephanie Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053077842 PECOS PAC ID: 5193114916 Enrollment ID: I20211117002106 |
| Provider Name | Robert E Radaz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881846830 PECOS PAC ID: 9032572854 Enrollment ID: I20230828000964 |
| Provider Name | Chelsea Reits |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932883857 PECOS PAC ID: 3678922275 Enrollment ID: I20231207003154 |
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