Tiffany Armitage, LLP, LLPC
Individual provider Active NPI Psychologist · Grand Rapids, MI
NPI 1245852995 · NPPES record last updated Nov 8, 2024
Key facts
- NPI
- 1245852995
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- 6361007691 (MI)
- Practice address
- 790 Fuller Ave NE
Grand Rapids, MI 49503-1918 - Phone
- (616) 336-3909
- Fax
- (616) 336-8830
- NPI assigned
- May 15, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6361007691 | MI | MD | Psychologist |
| 6401017151 | MI | MD | Counseling Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Richard Kneip, PH.D., P.C. | Past | Accepting new patients | |
| Pine Rest Christian Mental Health Services | Psychologist | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 6361007691 | MI | |
| Counseling Psychologist | 103TC1900X | 6401017151 | MI | |
| Psychologist | 103T00000X | 6361007691 | MI | Yes |
Addresses
Primary practice location
790 Fuller Ave NE
Grand Rapids, MI 49503-1918
Mailing address
7458 Katie LN
Hudsonville, MI 49426-7333
Phone (616) 560-6817
Other practice location 1
7458 Katie Ln
Hudsonville, MI 49426-7333
Phone (616) 560-6817
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 8, 2024. 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.