Individual provider Active NPI

Jon Steffen Newman, PH.D.

  • Clinical Psychologist
  • Muskegon, MI
National Provider Identifier
1619027844
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301013149 Issued in MI
Practice address
837 Seminole Rd
Suite 200
Muskegon, MI 49441-6733
Phone
(231) 780-0100
Fax
(231) 780-0111
NPI assigned
Jan 11, 2007
Last updated
Jun 19, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 6301013149 MI
Clinical Psychologist 103TC0700X 6301013149 MI Primary

Addresses

Primary practice location

837 Seminole Rd
Suite 200
Muskegon, MI 49441-6733

Mailing address

837 Seminole Rd
Suite 200
Muskegon, MI 49441-6733
Phone (231) 780-0100

Other identifiers 3

IdentifierTypeStateIssuer
680F111610OtherMIBLUE CROSS
144318000OtherMIMAGELLAN
P23730002OtherMIWPS MEDICARE B

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060209000545 MI Practitioner - Clinical Psychologist 7517972771 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jon S Newman PHD PLCGroup PAC ID 4385714112, 2 clinicians

Practice addresses (Care Compare)

837 Seminole Rd
Norton Shores, MI 49441-6734
Phone (231) 780-0100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
6301013149MIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Jon S Newman PHD PLC Clinical Neuropsychologist CurrentSince Apr 11, 2008 Accepting new patients
Thriving Minds Psychotherapy Services LLC Clinical PastSince Oct 13, 2024 Accepting new patients
Neuropsychiatric Research Center of Southwest Florida LLC Past Accepting new patients
Christian Jansen-Yee PSYD & Associates PC Clinical Neuropsychologist PastSince Jan 22, 2007 Accepting new patients

Locations

837 Seminole Rd
Ste 200
Norton Shores, MI 49441
Phone (231) 737-1213

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213833600000",
    "number": "1619027844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "837 SEMINOLE RD",
            "address_2": "SUITE 200",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494416733",
            "telephone_number": "231-780-0100",
            "fax_number": "231-780-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "837 SEMINOLE RD",
            "address_2": "SUITE 200",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494416733",
            "telephone_number": "231-780-0100",
            "fax_number": "231-780-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWMAN",
        "first_name": "JON",
        "middle_name": "STEFFEN",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2008-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "MI",
            "license": "6301013149",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301013149",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "680F111610",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "144318000",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WPS MEDICARE B",
            "identifier": "P23730002",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskegon, MI

Sources for this page

Verify at the official NPI Registry.