West Michigan Addiction Consultants, PC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

410128 Issued in MI

Legal business name

WEST MICHIGAN ADDICTION CONSULTANTS, PC

Practice address

3001 Fuller Ave NE
Suite 1
Grand Rapids, MI 49505-3204

Phone

(616) 365-8800

Fax

(616) 365-7979

NPI assigned

Jan 12, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Thomas Lamott Haynes, M.D.

Title

President

Phone

(616) 365-8800

Specialties & licenses 1

Addresses

Tax ID family

West Michigan Addiction Consultants PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• West Michigan Addiction Consultants, PC

  • Addiction Medicine (Internal Medicine) Physician
  • Grand Rapids, MI
  • NPI 1588821433
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1231718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231718400000",
    "number": "1003053133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 FULLER AVE NE",
            "address_2": "SUITE 1",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495053204",
            "telephone_number": "616-365-8800",
            "fax_number": "616-365-7979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 FULLER AVE NE",
            "address_2": "SUITE 1",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495053204",
            "telephone_number": "616-365-8800",
            "fax_number": "616-365-7979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST MICHIGAN ADDICTION CONSULTANTS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-12",
        "last_updated": "2009-01-12",
        "status": "A",
        "authorized_official_last_name": "HAYNES",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "LAMOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "616-365-8800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "MI",
            "license": "410128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Wesley, M.A., LLPC
• Daniel M Wesolowski, FNP-BC
• Kristina M Wessels, LLPC
• Isobel Lorelai Wessling
• West Brook Recovery Center LLC
• West Michigan Addiction Consultants, PC
• West Michigan Adult Services
• West Michigan Anesthesia, PC
• West Michigan Cardiology, PC
• West Michigan Cardiology, PC

• Substance Abuse Rehabilitation Facility in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Substance Abuse Rehabilitation Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.