Authentic Connection Psychological Services, LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

AUTHENTIC CONNECTION PSYCHOLOGICAL SERVICES, LLC

Practice address

2040 Raybrook St SE Ste 201-B
Grand Rapids, MI 49546-7739

Phone

(269) 716-0093

NPI assigned

Oct 21, 2024

Organization subpart

No

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

Authorized official

Name

Lindsey Sherd, PHDNPI 1447788062

Title

Owner

Phone

(616) 320-4689

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lindsey Sherd, PHD

  • Clinical Psychologist
  • Grand Rapids, MI
  • NPI 1447788062
  NPD Authorized official
• Marianna Bryant, LLP

  • Psychologist
  • Grand Rapids, MI
  • NPI 1841955739
  NPD

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

{
    "created_epoch": "1729468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737849600000",
    "number": "1306667688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 RAYBROOK ST SE STE 201-B",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495467739",
            "telephone_number": "269-716-0093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 RAYBROOK ST SE STE 201-B",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495467739",
            "telephone_number": "269-716-0093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTHENTIC CONNECTION PSYCHOLOGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-21",
        "last_updated": "2025-01-26",
        "certification_date": "2025-01-26",
        "status": "A",
        "authorized_official_last_name": "SHERD",
        "authorized_official_first_name": "LINDSEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-320-4689",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Anne Austin, LLMSW
• Samantha Marie Austin, DPT
• Sharya Itiana Austin
• Taylor Nicole Austin
• Wendy Austin
• Authentic Connection Psychological Services, LLC
• Authenticity Recovery LLC
• Matthew Patrick Avers, PA
• Emily Averton
• Amanda Lynn Avery

• Psychologist in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2025; 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.