Active NPI
Gayle Rae Andrus, MA LLP
- Psychiatric/Mental Health Registered Nurse
- Grand Rapids, MI
National Provider Identifier
1326134503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Registered Nurse
- License
- 4704071605
- Practice address
- 3351 Claystone St SE
Ste 212
Grand Rapids, MI 49546-5781 - Phone
- (616) 954-1992
- Fax
- (616) 954-1998
- NPI assigned
- Oct 5, 2006
- Last updated
- Sep 11, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 6301008489 | MI | |
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 4704071605 | MI | Primary |
Addresses
Primary practice location
3351 Claystone St SE
Ste 212
Grand Rapids, MI 49546-5781
Mailing address
3351 Claystone St SE
Ste 212
Grand Rapids, MI 49546-5781
Phone (616) 954-1992
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301008489 | MI | MD | Psychologist |
| 4704071605 | MI | MD | Psychiatric/Mental Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Life Guidance Services | Psychologist | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1326134503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3351 CLAYSTONE ST SE",
"address_2": "STE 212",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495465781",
"telephone_number": "616-954-1992",
"fax_number": "616-954-1998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3351 CLAYSTONE ST SE",
"address_2": "STE 212",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495465781",
"telephone_number": "616-954-1992",
"fax_number": "616-954-1998"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDRUS",
"first_name": "GAYLE",
"middle_name": "RAE",
"credential": "MA LLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-05",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MI",
"license": "6301008489",
"primary": false
},
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "MI",
"license": "4704071605",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.