GERONTOLOGY NETWORK NPI 1598955510

NPI Information

NPI: 1598955510
Provider Name: GERONTOLOGY NETWORK
Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
516 CHERRY ST SE
GRAND RAPIDS, MI
ZIP 49503
Phone: (616) 456-6135
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GERONTOLOGY NETWORK is an addiction (substance use disorder) counselor in Grand Rapids, MI. GERONTOLOGY NETWORK NPI is 1598955510. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

516 CHERRY ST SE
GRAND RAPIDS, MI
ZIP 49503-702
Phone: (616) 456-6135
Fax: (616) 771-9771

The provider's authorized official is Thomas A Hartwig .
The authorized official title is President Ceo and has the following contact phone number (616) 456-6135.

The enumeration date for this NPI number is 7/26/2007 and was last updated on 7/26/2007.

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 Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	101YM0800X	Counselor	Mental Health	No
2	1041C0700X	Social Worker	Clinical	No
3	2084P0800X	Psychiatry & Neurology	Psychiatry	No
4	2084P0805X	Psychiatry & Neurology	Geriatric Psychiatry	No
5	251B00000X	Case Management		No
6	251S00000X	Community/Behavioral Health		No
7	101YA0400X	Counselor	Addiction (Substance Use Disorder)	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0D16163	MEDICARE ID-TYPE UNSPECIFIED	MICHIGAN
2	0D16140	MEDICARE ID-TYPE UNSPECIFIED	MICHIGAN

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: 11/14/2023

NPI Synchronization or Removal

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