Grand Rapids Psychology, PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

GRAND RAPIDS PSYCHOLOGY, PLLC

Practice address

4403 Cascade Rd SE Ste 8
Grand Rapids, MI 49546-3673

Phone

(616) 915-8153

NPI assigned

Jul 24, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Stacey Morgan, PSYD

Title

Psychologist

Phone

(616) 915-8153

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

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

• Laurie Ann Arnswald, BSN, MSN, CSW

  • Nurse Practitioner
  • Grand Rapids, MI
  • NPI 1528172822
  Medicare reassignment NPD

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

{
    "created_epoch": "1627084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627084800000",
    "number": "1336712561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1186 OAKBURN AVE SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495463767",
            "telephone_number": "616-915-8153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4403 CASCADE RD SE STE 8",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495463673",
            "telephone_number": "616-915-8153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND RAPIDS PSYCHOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-24",
        "last_updated": "2021-07-24",
        "certification_date": "2021-07-23",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "616-915-8153",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL",
            "identifier": "1275937583",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Grand Rapids Radiation Oncology PC
• Grand Rapids RX LLC
• Grand Rapids SNF, LLC
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• Clinical Psychologist in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2021; 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.