Teresa Norine Fetterley, LLP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6361005253 Issued in MI

Practice address

503 Century LN Ste 2
Holland, MI 49423-4318

Phone

(231) 303-1318

Fax

(616) 834-0446

NPI assigned

Apr 8, 2024

Last updated

Apr 8, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in MI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hope & Wholeness Psychology Center, LLC

  • Clinical Psychologist
  • Holland, MI
  • NPI 1841726809
  Medicare reassignment NPD

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

{
    "created_epoch": "1712534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712534400000",
    "number": "1194578401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 CENTURY LN STE 2",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494234318",
            "telephone_number": "231-303-1318",
            "fax_number": "616-834-0446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 CENTURY LN STE 2",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494234318",
            "telephone_number": "231-303-1318",
            "fax_number": "616-834-0446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FETTERLEY",
        "first_name": "TERESA",
        "middle_name": "NORINE",
        "credential": "LLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-08",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6361005253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Feenstra, RDH
• Willie Earl Feggins, RECOVERY COACH CCAR
• Jamie Fenstermaker
• Kurt Feringa, CRNA
• Elke Fester, DPT
• Jacob Fickel
• Paul C Field, MD
• Kevin Figurski
• Christopher Fink, DO
• Eric Matthew Finn

• Clinical Psychologist in Holland, MI
• Providers in Holland, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.