GERONTOLOGY NETWORK NPI 1649306879

NPI Information

NPI: 1649306879
Provider Name: GERONTOLOGY NETWORK
Classification: Psychiatry & Neurology - 2084P0805X
Entity Type: Organization

Specialization: Geriatric Psychiatry

Address:
516 CHERRY ST SE
GRAND RAPIDS, MI
ZIP 49503
Phone: (616) 456-6135
Get Directions

GERONTOLOGY NETWORK is a geriatric psychiatry psychiatry neurology in Grand Rapids, MI. The provider is geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients. GERONTOLOGY NETWORK NPI is 1649306879. 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

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 2/23/2007 and was last updated on 5/2/2008.

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	License State	Primary
1	1041C0700X	Social Worker	Clinical	MICHIGAN	No
2	2084P0800X	Psychiatry & Neurology	Psychiatry	MICHIGAN	No
3	251B00000X	Case Management		MICHIGAN	No
4	101YM0800X	Counselor	Mental Health		No
5	2084P0805X	Psychiatry & Neurology	Geriatric Psychiatry	MICHIGAN	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	0P51090	MEDICARE PIN	MICHIGAN
2	0D16140	MEDICARE ID-TYPE UNSPECIFIED	MICHIGAN	MD
3	0N95460	MEDICARE ID-TYPE UNSPECIFIED	MICHIGAN	NP
4	0D16163	MEDICARE ID-TYPE UNSPECIFIED	MICHIGAN	MSW

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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