Cognitive Therapy of Grand Rapids
Organization Active NPI Psychologist · Saugatuck, MI
NPI 1184019077 · NPPES record last updated Jan 26, 2023
Key facts
- NPI
- 1184019077
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychologist 103T00000X
- License
- 6301001704 (MI)
- Legal business name
- COGNITIVE THERAPY OF GRAND RAPIDS
- Practice address
- 3206 62ND St
Saugatuck, MI 49453-9701 - Phone
- (616) 666-1510
- NPI assigned
- Mar 30, 2015
- Organization subpart
- No
Authorized official
- Name
- Dr. Thomas F Mooney, EDD
- Title
- Provider
- Phone
- (616) 666-1510
Practitioners 1
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist |
103T00000X | 6301001704 | MI | Yes |
Addresses
Primary practice location
3206 62ND St
Saugatuck, MI 49453-9701
Mailing address
3206 62ND St
Saugatuck, MI 49453-9701
Phone (616) 666-1510
Other providers in Saugatuck, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 26, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.