Active NPI
Cynthia Gerrish, MA LLP
- Clinical Psychologist
- Grand Rapids, MI
National Provider Identifier
1396986071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6161007092
- Practice address
- 2716 E Paris Ave SE
Grand Rapids, MI 49546-6139 - Phone
- (616) 970-0700
- Fax
- (616) 975-7702
- NPI assigned
- Mar 10, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 6301007221 | MI | |
| Clinical Psychologist | 103TC0700X | 6161007092 | MI | Primary |
Addresses
Primary practice location
2716 E Paris Ave SE
Grand Rapids, MI 49546-6139
Mailing address
2716 E Paris Ave SE
Grand Rapids, MI 49546-6139
Phone (616) 975-0700
Other practice location 1
4131 Embassy Dr SE
Grand Rapids, MI 49546-2418
Phone (616) 975-0700 ext. 13
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6161007092 | MI | MD | Clinical Psychologist |
| 6301007221 | MI | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617062400000",
"number": "1396986071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2716 E PARIS AVE SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495466139",
"telephone_number": "616-975-0700",
"fax_number": "616-975-7702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2716 E PARIS AVE SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495466139",
"telephone_number": "616-970-0700",
"fax_number": "616-975-7702"
}
],
"practiceLocations": [
{
"address_1": "4131 Embassy Dr SE",
"address_purpose": "LOCATION",
"city": "Grand Rapids",
"state": "MI",
"postal_code": "495462418",
"country_code": "US",
"telephone_number": "616-975-0700 x13",
"fax_number": "616-975-7702",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GERRISH",
"first_name": "CYNTHIA",
"credential": "MA LLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-03-10",
"last_updated": "2021-03-30",
"certification_date": "2021-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MI",
"license": "6301007221",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MI",
"license": "6161007092",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.