Organization Active NPI

Schantz Psychological Services PLLC

  • Psychologist
  • Grand Haven, MI
National Provider Identifier
1467727032
Registry record updated Jul 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6301013446 Issued in MI
Legal business name
SCHANTZ PSYCHOLOGICAL SERVICES PLLC
Practice address
120 S 5TH St
Grand Haven, MI 49417-1410
Phone
(616) 312-3175
Fax
(616) 935-1288
NPI assigned
Mar 15, 2012
Last updated
Jul 6, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2012

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

Authorized official

Name
Aaron R Schantz, LLPNPI 1578838132
Title
Owner
Phone
(616) 312-3175

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 6301013446 MI Primary

Addresses

Primary practice location

120 S 5TH St
Grand Haven, MI 49417-1410

Mailing address

120 S 5TH St
Grand Haven, MI 49417-1410
Phone (616) 312-3175

Other identifiers 1

IdentifierTypeStateIssuer
1578838132OtherMIINDIVIDUAL NPI

National Provider Directory

National Provider Directory

Locations

120 S 5th St
Grand Haven, MI 49417
Phone (616) 312-3175

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1331769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341532800000",
    "number": "1467727032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 S 5TH ST",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494171410",
            "telephone_number": "616-312-3175",
            "fax_number": "616-935-1288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 S 5TH ST",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494171410",
            "telephone_number": "616-312-3175",
            "fax_number": "616-935-1288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHANTZ PSYCHOLOGICAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-15",
        "last_updated": "2012-07-06",
        "status": "A",
        "authorized_official_last_name": "SCHANTZ",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-312-3175",
        "authorized_official_credential": "LLP"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301013446",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1578838132",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Haven, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.