Michael Scott Brady, PH.D.
Individual provider Active NPI Clinical Psychologist · Grand Haven, MI
NPI 1366530271 · NPPES record last updated Jan 20, 2018
Key facts
- NPI
- 1366530271
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 6301012763 (MI)
- Practice address
- 726 Franklin Ave
Grand Haven, MI 49417-3401 - Phone
- (989) 576-0554
- Fax
- (989) 463-6390
- NPI assigned
- Oct 10, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Alma Counseling Center PLLC
Practice addresses (Care Compare)
116 W Superior St
Suite 5
Alma, MI 48801-1650
Phone (989) 331-4545
1200 Wright Ave
Masonic Pathways
Alma, MI 48801-1133
Phone (989) 331-4545
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070102000271 | MI | Practitioner - Clinical Psychologist | 6103881271 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kristine Koetje Ma, PC | Psychologist | Current |
Accepting new patients |
| Encourage Institute for Teaching and Learning, LLC | Past | Accepting new patients |
Locations
1388 Baldwin St
Ste A
Jenison, MI 49428
Phone (616) 259-9220
17224 Van Wagoner Rd
Spring Lake, MI 49456
Phone (616) 296-2130
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 6301012763 | MI | Yes |
Addresses
Primary practice location
726 Franklin Ave
Grand Haven, MI 49417-3401
Mailing address
726 Franklin Ave
Grand Haven, MI 49417-3401
Phone (989) 576-0554
Other providers in Grand Haven, MI
- Susan Bowers
- Nicole Bowyer
- Sheryl Lynn Boynton
- Jaclyn Bradley
- Grace Ann Brady
- Hayley Braun
- Samantha Brewer
- Brian L Roscoe, DC, LLC
- Carrie Brondyke
- Brandi Sue Brower
All providers in Grand Haven, MI · Clinical Psychologist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 20, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.