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ABIGAIL GUEVARA PHD PC NPI 1053421818


NPI Information

NPI: 1053421818
Provider Name: ABIGAIL GUEVARA PHD PC
Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

Address:
16 N MONCOE
ROCKFORD, MI
ZIP 49341
Phone: (616) 866-4830
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ABIGAIL GUEVARA PHD PC is a clinical psychologist in Rockford, MI. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. ABIGAIL GUEVARA PHD PC NPI is 1053421818. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

16 N MONCOE
ROCKFORD, MI
ZIP 49341
Phone: (616) 866-4830
Fax: (616) 866-4944

The provider's authorized official is Abigail Guevara Hansen .
The authorized official title is President and has the following contact phone number (616) 866-4830.

The enumeration date for this NPI number is 8/30/2006 and was last updated on 6/21/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TC0700XPsychologistClinical6301011335MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1162677OTHERVALUE OPTIONS
2OP3039001MEDICARE ID-TYPE UNSPECIFIEDMICHIGAN
3680DI15940OTHERBCBS
4Q31193MEDICARE UPIN
511277623OTHERCAQH
6239038OTHERUBH
77000023702OTHERPRIORITY HEALTH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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