Adhdonline

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

ADHDONLINE

Practice address

5619 Balsam Dr
Hudsonville, MI 49426-1128

Phone

(616) 229-2935

NPI assigned

Jan 14, 2021

Organization subpart

No

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

Authorized official

Name

Debra Davisson

Title

Biller/Coder

Phone

(517) 740-0184

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1610582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610582400000",
    "number": "1457940496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5619 BALSAM DR",
            "city": "HUDSONVILLE",
            "state": "MI",
            "postal_code": "494261128",
            "telephone_number": "616-229-2935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5619 BALSAM DR",
            "city": "HUDSONVILLE",
            "state": "MI",
            "postal_code": "494261128",
            "telephone_number": "616-229-2935"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5619 Balsam Dr",
            "address_purpose": "LOCATION",
            "city": "Hudsonville",
            "state": "MI",
            "postal_code": "494261128",
            "country_code": "US",
            "telephone_number": "616-229-2935",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ADHDONLINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-14",
        "last_updated": "2021-01-14",
        "certification_date": "2021-01-14",
        "status": "A",
        "authorized_official_last_name": "DAVISSON",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "BILLER/CODER",
        "authorized_official_telephone_number": "517-740-0184"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TP0016X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 161 Private Holdings LLC
• Leah Marie Adams, PT
• Advanced Medical Group
• Advantage Health/Saint Mary'S Medical Group
• Delanie R Aguilar, LM CPM
• Amanda Stienstra LMSW LLC
• American Medical Supply LLC

• Psychologist in Hudsonville, MI
• Providers in Hudsonville, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.

Verify at the official NPI Registry.