Provider Demographics
NPI:1194400960
Name:DR EDWARD SCHMITT AND DR MARIE MCKAY
Entity type:Organization
Organization Name:DR EDWARD SCHMITT AND DR MARIE MCKAY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:P
Authorized Official - Last Name:SCHMITT
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:616-901-3696
Mailing Address - Street 1:1551 CAPRICE DR
Mailing Address - Street 2:
Mailing Address - City:JENISON
Mailing Address - State:MI
Mailing Address - Zip Code:49428-9582
Mailing Address - Country:US
Mailing Address - Phone:616-901-3696
Mailing Address - Fax:
Practice Address - Street 1:1551 CAPRICE DR
Practice Address - Street 2:
Practice Address - City:JENISON
Practice Address - State:MI
Practice Address - Zip Code:49428-9582
Practice Address - Country:US
Practice Address - Phone:616-901-3696
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-20
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty