NPIMap

Organization Active NPI

Hope Network Behavioral Health Services

  • Child & Adolescent Psychiatry Physician
  • Grand Rapids, MI
National Provider Identifier
1104128602
Registry record updated Feb 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
Legal business name
HOPE NETWORK BEHAVIORAL HEALTH SERVICES
Practice address
3361 36TH Street
Grand Rapids, MI 49512
Phone
(616) 942-2522
NPI assigned
Dec 3, 2010
Organization subpart
Yes
Parent organization
HOPE NETWORK BEHAVIORAL HEALTH SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 10, 2020

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

Authorized official

Name
Timothy Becker
Title
Coo
Phone
(616) 301-8000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0804X Primary

Addresses

Primary practice location

3361 36TH Street
Grand Rapids, MI 49512

Mailing address

3075 Orchard Vista Dr SE
Grand Rapids, MI 49546-7069
Phone (616) 301-8000

Other practice location 1

1256 Walker Ave NW
Grand Rapids, MI 49504-4067
Phone (616) 942-2522

Other practice location 2

11172 Adams St
Holland, MI 49423-9163
Phone (616) 942-2522

Other practice location 3

2875 Eyde Pkwy Ste 100
East Lansing, MI 48823-5368
Phone (844) 969-0252

Other names 1

  • CENTER FOR AUTISM Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Hope Network5 organizations share this tax ID, including this one
Part of
Hope Network

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3361 36th St SE
Kentwood, MI 49512
Phone (616) 248-5201

Practitioners & affiliated clinicians

Practitioners 181

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

View all 181

NPI Registry JSON

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

{
    "created_epoch": "1291334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581292800000",
    "number": "1104128602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3075 ORCHARD VISTA DR SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495467069",
            "telephone_number": "616-301-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3361 36TH STREET",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "49512",
            "telephone_number": "616-942-2522"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1256 Walker Ave NW",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495044067",
            "country_code": "US",
            "telephone_number": "616-942-2522",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11172 Adams St",
            "address_purpose": "LOCATION",
            "city": "Holland",
            "state": "MI",
            "postal_code": "494239163",
            "country_code": "US",
            "telephone_number": "616-942-2522",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2875 Eyde Pkwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "East Lansing",
            "state": "MI",
            "postal_code": "488235368",
            "country_code": "US",
            "telephone_number": "844-969-0252",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HOPE NETWORK BEHAVIORAL HEALTH SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOPE NETWORK BEHAVIORAL HEALTH SERVICES",
        "enumeration_date": "2010-12-03",
        "last_updated": "2020-02-10",
        "certification_date": "2020-02-10",
        "status": "A",
        "authorized_official_last_name": "BECKER",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "616-301-8000"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CENTER FOR AUTISM",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CENTER FOR AUTISM",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 10, 2020; 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.