NPIMap

Organization Active NPI

Riverview Counseling and Wellness Center, P.C.

  • Psychologist
  • Big Rapids, MI
National Provider Identifier
1093945636
Registry record updated Jul 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1083722276 Issued in MI
Legal business name
RIVERVIEW COUNSELING AND WELLNESS CENTER, P.C.
Practice address
15495 Old Millpond Rd
Big Rapids, MI 49307-9502
Phone
(231) 796-9188
Fax
(231) 796-5007
NPI assigned
Jul 16, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2009

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

Authorized official

Name
Dr. Mark S Kane, PHD
Title
Owner
Phone
(231) 796-9188

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 1083722276 MI Primary

Addresses

Primary practice location

15495 Old Millpond Rd
Big Rapids, MI 49307-9502

Mailing address

15495 Old Millpond Rd
Big Rapids, MI 49307-9502
Phone (231) 796-9188

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1247702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247702400000",
    "number": "1093945636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15495 OLD MILLPOND RD",
            "city": "BIG RAPIDS",
            "state": "MI",
            "postal_code": "493079502",
            "telephone_number": "231-796-9188",
            "fax_number": "231-796-5007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15495 OLD MILLPOND RD",
            "city": "BIG RAPIDS",
            "state": "MI",
            "postal_code": "493079502",
            "telephone_number": "231-796-9188",
            "fax_number": "231-796-5007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERVIEW COUNSELING AND WELLNESS CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-16",
        "last_updated": "2009-07-16",
        "status": "A",
        "authorized_official_last_name": "KANE",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "231-796-9188",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "MI",
            "license": "1083722276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Big Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.