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NPI Code Detail

MEDICARE: HOPE SPECTRUM HEALTH CC

MEDICARE: HOPE SPECTRUM HEALTH CC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TA0700XAdult Development & Aging Psychologist
2261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)
3235Z00000XSpeech-Language Pathologist
4103TC1900XCounseling Psychologist
5225100000XPhysical Therapist
62084P0800XPsychiatry Physician
7103TH0100XHealth Service Psychologist
82084P0301XBrain Injury Medicine (Psychiatry & Neurology) Physician
9103TC0700XClinical Psychologist
10103TB0200XCognitive & Behavioral Psychologist
11103TR0400XRehabilitation Psychologist
122084N0400XNeurology Physician
13225X00000XOccupational Therapist
14225400000XRehabilitation Practitioner
152081P0301XBrain Injury Medicine (Physical Medicine & Rehabilitation) Physician

General Provider Information

NPI Number : 1225075062
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOPE SPECTRUM HEALTH CC
Provider Business Mailing Address
First Line : 3075 ORCHARD VISTA DR SE
Second Line :
City : GRAND RAPIDS
State : MI
Zip : 49546-7069
Country : US
Telephone Number : 616-301-8000
Fax Number : 616-301-8010
Provider Business Practice Location Address
First Line : 2775 E LANSING DR
Second Line :
City : EAST LANSING
State : MI
Zip : 48823-7755
Country : US
Telephone Number : 517-332-1616
Fax Number : 517-336-4797
Authorized Official
Title or Position : COO
Name : MR. TIMOTHY T BECKER
Credential :
Telephone Number : 616-301-8000
Provider Enumeration Date : 06/01/2006
Last Update Date : 10/06/2025

Similar Medicare Providers

1275498818 — ANDREW REMLEY
Practice Location Address:
2775 E LANSING DR
EAST LANSING, MI
48823-7755
Practice Phone: 517-897-1930
Practice Fax:
1609024553 — CHERYL L. NATZKE OTR
Practice Location Address:
2775 E LANSING DR
EAST LANSING, MI
48823-7755
Practice Phone: 517-332-1616
Practice Fax: 517-336-4797
1811148703 — MR. SCOTT BRIAN CRILLY P.T.
Practice Location Address:
2775 E LANSING DR
EAST LANSING, MI
48823-7755
Practice Phone: 517-332-1616
Practice Fax: 517-336-4797
1891947628 — MRS. YVONNE BERNICE GARRISON PT
Practice Location Address:
2775 E LANSING DR
EAST LANSING, MI
48823-7755
Practice Phone: 517-332-1616
Practice Fax: 517-336-4797
1861631269 — MINDY BETH BOASE CTRS, CBIS
Practice Location Address:
2775 E LANSING DR
EAST LANSING, MI
48823-7755
Practice Phone: 517-332-1616
Practice Fax: 517-336-4797
1619116928 — MONICA LOR NOVAK OTR
Practice Location Address:
2775 E LANSING DR
EAST LANSING, MI
48823-7755
Practice Phone: 517-332-1616
Practice Fax: 517-336-4797

Directions to “HOPE SPECTRUM HEALTH CC ” Practice Location

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