Individual provider Active NPI

James A Vanharen, MD

  • Psychiatry Physician
  • Grand Rapids, MI
National Provider Identifier
1114901840
Registry record updated Jun 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
43010545 Issued in MI
Practice address
2716 E Paris Ave SE
Grand Rapids, MI 49546-6139
Phone
(616) 975-0700
NPI assigned
Dec 6, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 4301054556 MI
Psychiatry Physician 2084P0800X 43010545 MI Primary

Addresses

Primary practice location

2716 E Paris Ave SE
Grand Rapids, MI 49546-6139

Mailing address

PO Box 1969
Grand Rapids, MI 49501-1969
Phone (800) 968-6866

Other practice location 1

1055 Medical Park Dr SE
Grand Rapids, MI 49546-3671
Phone (616) 942-9610

Other identifiers 1

IdentifierTypeStateIssuer
3349576MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070417000608 MI Practitioner - Psychiatry 3375648595 Reassigns benefits to 2 organizations
Practice locations: Grand Rapids, MI

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Michigan State University College of Human Medicine, 1985
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2716 E Paris Ave SE
Grand Rapids, MI 49546-6139
Phone (616) 975-0700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
43010545MIMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Forest View Psychiatric Hospital Inc CurrentSince Jan 1, 2006 Accepting new patients
Forest View Psychiatric Hospital Inc CurrentSince Jan 1, 2006 Accepting new patients
Recovery Physicians Network of Michigan Psychiatry CurrentSince Jan 1, 2023 Accepting new patients

Locations

1055 Medical Park Dr SE
Grand Rapids, MI 49546
Phone (616) 942-9610

2172 East Paris Ave SE
Ste A
Grand Rapids, MI 49546
Phone (616) 871-6460

101 W Townsend Rd
Saint Johns, MI 48879
Phone (989) 403-6022

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.

NPI Registry JSON

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

{
    "created_epoch": "1133827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655078400000",
    "number": "1114901840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1969",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495011969",
            "telephone_number": "800-968-6866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2716 E PARIS AVE SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495466139",
            "telephone_number": "616-975-0700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1055 Medical Park Dr SE",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495463671",
            "country_code": "US",
            "telephone_number": "616-942-9610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANHAREN",
        "first_name": "JAMES",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-06",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "4301054556",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "43010545",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3349576",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.