Active NPI
Hope Network
- Rehabilitation Psychologist
- Kentwood, MI
National Provider Identifier
1194400499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Psychologist
- Legal business name
- HOPE NETWORK
- Practice address
- 3592 Meadow Grave Dr SE
Kentwood, MI 49512 - Phone
- (616) 477-7821
- NPI assigned
- Jun 15, 2023
- 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
- Miss Nathalie Mbika Rael III
- Title
- N/a
- Phone
- (616) 477-7821
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Psychologist | 103TR0400X | Primary |
Addresses
Primary practice location
3592 Meadow Grave Dr SE
Kentwood, MI 49512
Mailing address
3592 Meadow Grave Dr SE
Kentwood, MI 49512
Phone (616) 477-7821
Other names 1
- Hope Network
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686787200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1686787200000",
"number": "1194400499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3592 MEADOW GRAVE DR SE",
"city": "KENTWOOD",
"state": "MI",
"postal_code": "49512",
"telephone_number": "616-477-7821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3592 MEADOW GRAVE DR SE",
"city": "KENTWOOD",
"state": "MI",
"postal_code": "49512",
"telephone_number": "616-477-7821"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOPE NETWORK",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-15",
"last_updated": "2023-06-15",
"certification_date": "2023-06-07",
"status": "A",
"authorized_official_last_name": "RAEL",
"authorized_official_first_name": "NATHALIE",
"authorized_official_middle_name": "MBIKA",
"authorized_official_title_or_position": "N/A",
"authorized_official_telephone_number": "616-477-7821",
"authorized_official_name_prefix": "Miss",
"authorized_official_name_suffix": "III"
},
"taxonomies": [
{
"code": "103TR0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Hope Network",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Kentwood, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.