Radical Health & Wellness

Primary specialty

Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X

License

6301016125 Issued in MI

Legal business name

RADICAL HEALTH & WELLNESS

Practice address

8655 Whitneyville CT SE
Alto, MI 49302-9785

Phone

(269) 692-5321

Fax

(269) 312-7328

NPI assigned

Mar 10, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Heather J Dannison, PHD, LP

Title

Counseling Psychologist

Phone

(269) 692-5321

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1489104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623196800000",
    "number": "1720529779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8655 WHITNEYVILLE CT SE",
            "city": "ALTO",
            "state": "MI",
            "postal_code": "493029785",
            "telephone_number": "269-692-5321",
            "fax_number": "269-312-7328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8655 WHITNEYVILLE CT SE",
            "city": "ALTO",
            "state": "MI",
            "postal_code": "493029785",
            "telephone_number": "269-692-5321",
            "fax_number": "269-312-7328"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "604 S Rose St",
            "address_purpose": "LOCATION",
            "city": "Kalamazoo",
            "state": "MI",
            "postal_code": "49007",
            "country_code": "US",
            "telephone_number": "269-692-5321",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RADICAL HEALTH & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-10",
        "last_updated": "2021-06-09",
        "certification_date": "2021-06-09",
        "status": "A",
        "authorized_official_last_name": "DANNISON",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "COUNSELING PSYCHOLOGIST",
        "authorized_official_telephone_number": "269-692-5321",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LP"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "MI",
            "license": "6301016125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra J Hoekstra, LPN
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• Randall Wolthuis, PH.D. LLC
• Jennifer Lynn Root, MA, LPC
• Russel Brubaker MD
• Sandy'S Country Afc
• Sidney Schering, MS, RDN

• Cognitive & Behavioral Psychologist in Alto, MI
• Providers in Alto, MI by specialty
• Cognitive & Behavioral Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2021; 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.