Individual provider Active NPI

Irene B. Kraegel, PSYD

  • Psychologist
  • East Grand Rapids, MI
National Provider Identifier
1205041480
Registry record updated Mar 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6301014119 Issued in MI
Practice address
529 Greenwood Ave SE
East Grand Rapids, MI 49506-2909
Phone
(616) 202-2233
NPI assigned
May 11, 2007
Last updated
Mar 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 6301014119 MI Primary

Addresses

Primary practice location

529 Greenwood Ave SE
East Grand Rapids, MI 49506-2909

Mailing address

529 Greenwood Ave SE
East Grand Rapids, MI 49506-2909
Phone (616) 202-2233

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6301014119MIMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773619200000",
    "number": "1205041480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "529 GREENWOOD AVE SE",
            "city": "EAST GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495062909",
            "telephone_number": "616-202-2233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 GREENWOOD AVE SE",
            "city": "EAST GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495062909",
            "telephone_number": "616-202-2233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAEGEL",
        "first_name": "IRENE",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-11",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301014119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2026; 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.