Daniel K. Ehnis, PC
Organization Active NPI Clinical Psychologist · Ada, MI
NPI 1922247162 · NPPES record last updated Feb 11, 2009
Key facts
- NPI
- 1922247162
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 6635 (MI)
- Legal business name
- DANIEL K. EHNIS, PC
- Practice address
- 4670 E. Fulton
Suite 101
Ada, MI 49301-8409 - Phone
- (616) 975-3160
- Fax
- (616) 975-3163
- NPI assigned
- Feb 11, 2009
- Organization subpart
- No
Authorized official
- Name
- Dr. Daniel K. Ehnis, ED.D.
- Title
- Licensed Clinical Psychologist
- Phone
- (616) 975-3160
Practitioners 2
-
Daniel Keith Ehnis, EDD
-
Dane Vermerris, ED.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040601000047 | MI | Part B Supplier - Clinic/Group Practice | 6608857016 |
Receives reassigned benefits from 1 practitioner Practice locations: Ada, MI |
National Provider Directory
Locations
4760 Fulton St E
Ste 103
Ada, MI 49301
Phone (616) 975-3160
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist |
103TC0700X | 6635 | MI | Yes |
Addresses
Primary practice location
4670 E. Fulton
Suite 101
Ada, MI 49301-8409
Mailing address
4670 E. Fulton
Suite 101
Ada, MI 49301-8409
Phone (616) 975-3160
Other providers in Ada, MI
- Emily Cordes
- Cornerstone Caregiving East LLC
- Kathleen Jandernoa Cramer
- Ethan Brent Cunningham
- Conor Dahlquist
- Kristen Daniels
- Stacy L Davis
- Dawn Jenkins LMSW
- Brittani Decess
- Michelle Lynn Degraaf
All providers in Ada, MI · Clinical Psychologist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 11, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.