CHERRY STREET SERVICES INC NPI 1801298716

NPI Information

NPI: 1801298716
Provider Name: CHERRY STREET SERVICES INC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
100 CHERRY ST SE
GRAND RAPIDS, MI
ZIP 49503
Phone: (616) 965-8200
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CHERRY STREET SERVICES INC is a general practice in Grand Rapids, MI. CHERRY STREET SERVICES INC NPI is 1801298716. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

100 CHERRY ST SE
GRAND RAPIDS, MI
ZIP 49503-526
Phone: (616) 965-8200
Fax: (616) 940-5366

The provider's authorized official is Chris Shea .
The authorized official title is Ceo and has the following contact phone number (616) 776-2129.

The enumeration date for this NPI number is 9/23/2014 and was last updated on 9/23/2014.

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	101Y00000X	Counselor		No
2	103T00000X	Psychologist		No
3	104100000X	Social Worker		No
4	122300000X	Dentist		No
5	124Q00000X	Dental Hygienist		No
6	152W00000X	Optometrist		No
7	207Q00000X	Family Medicine		No
8	207R00000X	Internal Medicine		No
9	207V00000X	Obstetrics & Gynecology		No
10	208000000X	Pediatrics		No
11	2084A0401X	Psychiatry & Neurology	Addiction Medicine	No
12	2084N0400X	Psychiatry & Neurology	Neurology	No
13	208D00000X	General Practice		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	=========	OTHER	MICHIGAN	EIN

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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