Active NPI
Gail Monsma, MA, LLP
- Psychologist
- Grand Rapids, MI
National Provider Identifier
1073838579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6301011597
- Practice address
- 4100 Lake Dr SE
Suite 305
Grand Rapids, MI 49546-8292 - Phone
- (616) 285-1377
- Fax
- (616) 285-1006
- NPI assigned
- Mar 29, 2010
- Sex
- Female
- Sole proprietor
- No
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 | 6301011597 | MI | Primary |
Addresses
Primary practice location
4100 Lake Dr SE
Suite 305
Grand Rapids, MI 49546-8292
Mailing address
61 Commerce Ave SW
Grand Rapids, MI 49503-4124
Phone (616) 940-0660
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)
- Enrolled
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269820800000",
"number": "1073838579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "61 COMMERCE AVE SW",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495034124",
"telephone_number": "616-940-0660",
"fax_number": "616-940-1965"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4100 LAKE DR SE",
"address_2": "SUITE 305",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495468292",
"telephone_number": "616-285-1377",
"fax_number": "616-285-1006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONSMA",
"first_name": "GAIL",
"credential": "MA, LLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-29",
"last_updated": "2010-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MI",
"license": "6301011597",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.