NPIMap

Organization Active NPI

Hulst Psychology and Assessment Center

  • Psychologist
  • Grand Rapids, MI
National Provider Identifier
1558600973
Registry record updated Jan 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6301013813 Issued in MI
Legal business name
HULST PSYCHOLOGY AND ASSESSMENT CENTER
Practice address
4940 Cascade Rd SE
Suite 230
Grand Rapids, MI 49546-3708
Phone
(616) 803-0643
NPI assigned
Feb 5, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2014

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

Authorized official

Name
Mrs. Susie Hulst, MA
Title
Psychologist
Phone
(616) 901-0336

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X 6301013813 MI Primary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X 6301013253 MI

Addresses

Primary practice location

4940 Cascade Rd SE
Suite 230
Grand Rapids, MI 49546-3708

Mailing address

4940 Cascade Rd SE
Suite 230
Grand Rapids, MI 49546-3708
Phone (616) 803-0643

National Provider Directory

National Provider Directory

Locations

4940 Cascade Rd SE
Ste 230
Grand Rapids, MI 49546
Phone (616) 803-0643

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1360022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389657600000",
    "number": "1558600973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4940 CASCADE RD SE",
            "address_2": "SUITE 230",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495463708",
            "telephone_number": "616-803-0643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4940 CASCADE RD SE",
            "address_2": "SUITE 230",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495463708",
            "telephone_number": "616-803-0643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HULST PSYCHOLOGY AND ASSESSMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-05",
        "last_updated": "2014-01-14",
        "status": "A",
        "authorized_official_last_name": "HULST",
        "authorized_official_first_name": "SUSIE",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "616-901-0336",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301013813",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301013253",
            "primary": false
        }
    ],
    "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 Jan 14, 2014; 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.