OrganizationActive
Cherry Street Services Inc
NPI 1265081418 · Federally Qualified Health Center (FQHC) · Wyoming, MI
Provider details
- NPI number
- 1265081418
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Parent organization
- Cherry Street Services Inc
- Organization subpart
- Yes
- Authorized official
- Tasha Blackmon, Ceo(616) 965-8215
Specialties & taxonomies
Ambulatory Health Care Facilities
- Community/Behavioral Health Agency251S00000X
Agencies
- Medical Specialty Clinic/Center261QM2500X
Ambulatory Health Care Facilities
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2125 Wrenwood St Sw Ofc Therapist
Wyoming, MI 49519-2362
Phone: (616) 530-7590
Fax: (616) 249-7673
Street-level locationGet directions
Mailing address
100 Cherry St Se
Grand Rapids, MI 49503-4526
Other names (DBA / former)
- Doing business as
- Wyoming Junior High School Health Center
- Doing business as
- Wyoming Junior High School Health Center
Registry dates
- Enumerated
- 2019-09-10
- Last updated
- 2023-08-25
- Certified
- 2023-08-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.