Individual provider Active NPI

Steven Craig Griffioen, PSY.D.

  • Clinical Psychologist
  • Grand Rapids, MI
National Provider Identifier
1356440994
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301009482 Issued in MI
Practice address
468 Kinney Ave NW
Grand Rapids, MI 49534-4509
Phone
(616) 735-5491
NPI assigned
Sep 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 6301009482 MI Primary

Addresses

Primary practice location

468 Kinney Ave NW
Grand Rapids, MI 49534-4509

Mailing address

468 Kinney Ave NW
Grand Rapids, MI 49534-4509
Phone (616) 735-5491

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20110211000016 MI Practitioner - Clinical Psychologist 0244410033 Practice locations: Grand Rapids, MI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

468 Kinney Ave NW
Grand Rapids, MI 49534-4509
Phone (616) 735-5491

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6301009482MIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Heather Duthler PastSince Oct 27, 2023 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356440994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "468 KINNEY AVE NW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495344509",
            "telephone_number": "616-735-5491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "468 KINNEY AVE NW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495344509",
            "telephone_number": "616-735-5491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFIOEN",
        "first_name": "STEVEN",
        "middle_name": "CRAIG",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301009482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.