David E Thornsen, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301012067 Issued in MI

Practice address

500 Cascade West Pkwy SE Ste 240
Grand Rapids, MI 49546-2166

Phone

(616) 591-9000

Fax

(616) 591-9004

NPI assigned

Apr 4, 2006

Last updated

Apr 23, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Grand Rapids Therapy Group, IncGroup PAC ID 8325551112, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Grand Rapids Therapy Group Inc

  dba GR Therapy Group

  • Psychologist
  • Grand Rapids, MI
  • NPI 1295211076
  Medicare reassignment Care Compare group NPD
• Grace Haven Counseling, LLC

  • Clinical Social Worker
  • Grandville, MI
  • NPI 1063893907
  NPD (past)
• Henderson Counseling Services

  • Professional Counselor
  • Grandville, MI
  • NPI 1275808594
  NPD (past)

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619136000000",
    "number": "1356303556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 CASCADE WEST PKWY SE STE 240",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495462166",
            "telephone_number": "616-591-9000",
            "fax_number": "616-591-9004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 CASCADE WEST PKWY SE STE 240",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495462166",
            "telephone_number": "616-591-9000",
            "fax_number": "616-591-9004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORNSEN",
        "first_name": "DAVID",
        "middle_name": "E",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-04",
        "last_updated": "2021-04-23",
        "certification_date": "2021-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301012067",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MICHIGAN",
            "identifier": "680D114760",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barbara S Thornburg, MD
• Elizabeth Thornburg, BCBA, LBA
• Cal David Thorne, LLC
• James Lee Thorne
• Judith Thorne, NP
• Mary Thornsen
• Catrice Morning Bird Thornton, LMT
• Clare Thornton
• Faith Thornton, LLMSW
• Kate Thornton, LMSW

• 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 Apr 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.