NPIMap

Organization Active NPI

Center for Family Development

  • Clinical Psychologist
  • Holland, MI
National Provider Identifier
1023157161
Registry record updated Nov 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
CENTER FOR FAMILY DEVELOPMENT
Practice address
347 Hoover Blvd
Suite a
Holland, MI 49423-5802
Phone
(616) 392-7695
Fax
(616) 392-6955
NPI assigned
Feb 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Saulo RodriguezNPI 1962597435
Title
Partner
Phone
(616) 392-7695

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X MI
Clinical PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TC0700X MI Primary

Addresses

Primary practice location

347 Hoover Blvd
Suite a
Holland, MI 49423-5802

Mailing address

217 Sunrise Dr
Holland, MI 49423-6669
Phone (616) 392-7695

National Provider Directory

National Provider Directory

Locations

347 Hoover Blvd
Ste A
Holland, MI 49423
Phone (616) 392-7695

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478822400000",
    "number": "1023157161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 SUNRISE DR",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494236669",
            "telephone_number": "616-392-7695",
            "fax_number": "616-392-6955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "347 HOOVER BLVD",
            "address_2": "SUITE A",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494235802",
            "telephone_number": "616-392-7695",
            "fax_number": "616-392-6955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR FAMILY DEVELOPMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2016-11-11",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "SAULO",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "616-392-7695",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.