Individual provider Active NPI

Dorothy J Garnett, MA LLP

  • Clinical Psychologist
  • Grand Rapids, MI
National Provider Identifier
1427028463
Registry record updated Aug 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301008912 Issued in MI
Practice address
3737 Lake Eastbrook Blvd SE
Suite 108
Grand Rapids, MI 49546-5993
Phone
(616) 301-2992
Fax
(616) 301-2993
NPI assigned
Jan 24, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2013

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 6301008912 MI Primary

Addresses

Primary practice location

3737 Lake Eastbrook Blvd SE
Suite 108
Grand Rapids, MI 49546-5993

Mailing address

3737 Lake Eastbrook Blvd SE
Suite 108
Grand Rapids, MI 48546-5945
Phone (616) 301-2992

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)
Enrolled
Credentials
Master of Arts

NPI Registry JSON

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377043200000",
    "number": "1427028463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3737 LAKE EASTBROOK BLVD SE",
            "address_2": "SUITE 108",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "485465945",
            "telephone_number": "616-301-2992",
            "fax_number": "616-301-2993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3737 LAKE EASTBROOK BLVD SE",
            "address_2": "SUITE 108",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495465993",
            "telephone_number": "616-301-2992",
            "fax_number": "616-301-2993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARNETT",
        "first_name": "DOROTHY",
        "middle_name": "J",
        "credential": "MA LLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-24",
        "last_updated": "2013-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301008912",
            "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 Aug 21, 2013; 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.