Active NPI
Grand Rapids Neuropsychology PLLC
- Clinical Neuropsychologist
- Grand Rapids, MI
National Provider Identifier
1104708809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- Legal business name
- GRAND RAPIDS NEUROPSYCHOLOGY PLLC
- Practice address
- 519 Comstock Blvd NE
Grand Rapids, MI 49505-3642 - Phone
- (815) 382-3123
- NPI assigned
- Jul 23, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brett S Schneider, PHD
- Title
- Owner
- Phone
- (815) 382-3123
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | Primary | ||
| Adult Development & Aging Psychologist | 103TA0700X |
Addresses
Primary practice location
519 Comstock Blvd NE
Grand Rapids, MI 49505-3642
Mailing address
519 Comstock Blvd NE
Grand Rapids, MI 49505-3642
Phone (815) 382-3123
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Neuropsychologist
- Battle Creek, MI
- NPI 1396588463
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1753228800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1753228800000",
"number": "1104708809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "519 COMSTOCK BLVD NE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495053642",
"telephone_number": "815-382-3123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "519 COMSTOCK BLVD NE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495053642",
"telephone_number": "815-382-3123"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRAND RAPIDS NEUROPSYCHOLOGY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-07-23",
"last_updated": "2025-07-23",
"certification_date": "2025-07-23",
"status": "A",
"authorized_official_last_name": "SCHNEIDER",
"authorized_official_first_name": "BRETT",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "815-382-3123",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Clinical Neuropsychologist",
"state": null,
"license": null,
"primary": true
},
{
"code": "103TA0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Adult Development & Aging",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Rapids, MI
- Grand Rapids Medical Education Partners
- Grand Rapids Medical Education Partners
- Grand Rapids Medical Education Partners
- Grand Rapids Medical Education Partners
- Grand Rapids Natural Health
- Grand Rapids Opco, LLC
- Grand Rapids Opco, LLC
- Grand Rapids Pain Free Clinic Inc
- Grand Rapids Physical Therapy & Performance
- Grand Rapids Plastic Surgery PLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.