Jane L. Spies-Wert, PH.D., P.C.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

JANE L. SPIES-WERT, PH.D., P.C.

Practice address

15 Ionia Ave SW
Suite 645
Grand Rapids, MI 49503-4102

Phone

(616) 965-1805

NPI assigned

Sep 21, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Jane L Spies-Wert, PH.D.

Title

President

Phone

(616) 965-1805

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1348185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348185600000",
    "number": "1386995900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 IONIA AVE SW",
            "address_2": "SUITE 645",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495034102",
            "telephone_number": "616-965-1805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 IONIA AVE SW",
            "address_2": "SUITE 645",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495034102",
            "telephone_number": "616-965-1805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANE L. SPIES-WERT, PH.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-21",
        "last_updated": "2012-09-21",
        "status": "A",
        "authorized_official_last_name": "SPIES-WERT",
        "authorized_official_first_name": "JANE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "616-965-1805",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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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 Sep 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.