Amy Sikkenga, MA,, LLP

Primary specialty

Intellectual & Developmental Disabilities PsychologistTaxonomy code 103TM1800X

License

6301007166 Issued in MI

Practice address

4255 Kalamazoo Ave SE
Grand Rapids, MI 49508-3638

Phone

(616) 455-0960

Fax

(616) 455-7324

NPI assigned

Feb 16, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Kent County CMH Authority

  • Community/Behavioral Health Agency
  • Grand Rapids, MI
  • NPI 1194617811
  NPD (past)
• Thresholds Inc

  • Case Management Agency
  • Grand Rapids, MI
  • NPI 1154403467
  NPD (past)

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

{
    "created_epoch": "1424044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424044800000",
    "number": "1124419973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 68327",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495168327",
            "telephone_number": "616-774-0538",
            "fax_number": "616-774-0328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4255 KALAMAZOO AVE SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495083638",
            "telephone_number": "616-455-0960",
            "fax_number": "616-455-7324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIKKENGA",
        "first_name": "AMY",
        "credential": "MA,, LLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-16",
        "last_updated": "2015-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "MI",
            "license": "6301007166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Sigler
• Tuleisha Signs, LMSW
• John Sigtema, PHARMD
• Mary Patricia Sikanas
• Meredith Sikkema, RPH
• Annalise J Sikma
• Israel Benjamin Siku
• Jean Silbar, M.A, CCC-SLP
• Farashin Farhan Silevany, DO
• Maria Silguero-Mavis

• Intellectual & Developmental Disabilities Psychologist in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Intellectual & Developmental Disabilities Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2015; 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.