Active NPI
Michelle Marie Muenzenmeyer, LLP, CHMC
- Psychologist
- Draper, UT
National Provider Identifier
1003843319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6301012595
- Practice address
- 2286 E Deer Park LN
Draper, UT 84020-5731 - Phone
- (616) 795-0900
- Fax
- (616) 795-0899
- NPI assigned
- Jun 26, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 6301012595 | MI | Primary |
Addresses
Primary practice location
2286 E Deer Park LN
Draper, UT 84020-5731
Mailing address
138 E 12300 S Ste C-1014
Draper, UT 84020-7976
Phone (616) 795-0900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P108975200 | Other | MA | BC/BS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301012595 | MI | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michelle Muenzenmeyer | Psychologist | Current | Accepting new patients |
| Pine Rest Christian Mental Health Services | Past | Accepting new patients | |
| Pine Rest Christian Mental Health Services | Psychologist | Past | Accepting new patients |
Locations
138 E 12300 S
Ste C1014
Draper, UT 84020
Phone (616) 795-0900
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychologist
- Draper, UT
- NPI 1922896497
-
- Professional Counselor
- Grand Rapids, MI
- NPI 1386015683
-
- Psychiatry Physician
- Grand Rapids, MI
- NPI 1891703252
Psychologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758240000000",
"number": "1003843319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "138 E 12300 S STE C-1014",
"city": "DRAPER",
"state": "UT",
"postal_code": "840207976",
"telephone_number": "616-795-0900",
"fax_number": "616-795-0899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2286 E DEER PARK LN",
"city": "DRAPER",
"state": "UT",
"postal_code": "840205731",
"telephone_number": "616-795-0900",
"fax_number": "616-795-0899"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUENZENMEYER",
"first_name": "MICHELLE",
"middle_name": "MARIE",
"credential": "LLP, CHMC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-26",
"last_updated": "2025-09-19",
"certification_date": "2025-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MI",
"license": "6301012595",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "P108975200",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Draper, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.