Generations Wellness Center

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

Legal business name

GENERATIONS WELLNESS CENTER

Practice address

26803 Ryan Rd
Warren, MI 48091-4075

Phone

(586) 477-7472

NPI assigned

Apr 5, 2023

Last updated

Apr 5, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Roman John Kolodchin, PHDNPI 1679900047

Title

Ceo

Phone

(586) 477-7472

Specialties & licenses 1

Addresses

Other names 1

• Safehaus Inc Other name

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Roman John Kolodchin, PHD

  • Clinical Child & Adolescent Psychologist
  • Warren, MI
  • NPI 1679900047
  NPD Authorized official
• Curtis Gradie Leipold, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Clarkston, MI
  • NPI 1801552336
  NPD

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

{
    "created_epoch": "1680652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680652800000",
    "number": "1841985900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26803 RYAN RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480914075",
            "telephone_number": "586-477-7472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26803 RYAN RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480914075",
            "telephone_number": "586-477-7472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENERATIONS WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-05",
        "last_updated": "2023-04-05",
        "certification_date": "2023-04-05",
        "status": "A",
        "authorized_official_last_name": "KOLODCHIN",
        "authorized_official_first_name": "ROMAN",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "586-477-7472",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Safehaus Inc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Dale Gaylock
• Elora Danan Gee
• Danielle Gehlert, DDS
• Elizabeth Genaw, PHARMD
• Gene Caicco,D.P.M., PLC
• Generations Wellness Center Inc
• Genie Physical Therapy, LLC
• Gentle Dental Warren PLLC
• Gentle Hearts Home Care
• Gentle Touch Home Health Care Inc

• Clinical Child & Adolescent Psychologist in Warren, MI
• Providers in Warren, MI by specialty
• Clinical Child & Adolescent Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2023; 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.