Concordia Psychological Services, LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

CONCORDIA PSYCHOLOGICAL SERVICES, LLC

Practice address

1550 E Beltline Ave SE Ste 350
Grand Rapids, MI 49506-4399

Phone

(616) 275-0705

Fax

(616) 616-5620

NPI assigned

Sep 24, 2024

Organization subpart

No

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

Authorized official

Name

Selina Hill Lee, PH.D.NPI 1538396817

Title

Psychologist

Phone

(616) 634-8958

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Selina Maria Hill Lee, PH.D.

  • Psychologist
  • Grand Rapids, MI
  • NPI 1538396817
  NPD Authorized official

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

{
    "created_epoch": "1727136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741305600000",
    "number": "1619794260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 E BELTLINE AVE SE STE 350",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495064399",
            "telephone_number": "616-275-0705",
            "fax_number": "616-616-5620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 E BELTLINE AVE SE STE 350",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495064399",
            "telephone_number": "616-275-0705",
            "fax_number": "616-616-5620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCORDIA PSYCHOLOGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-24",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A",
        "authorized_official_last_name": "HILL LEE",
        "authorized_official_first_name": "SELINA",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "616-634-8958",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauryn Elizabeth Comstock
• Jody Vandenberg Conant, M.A. CCC-SLP
• Concentra Health Services, Inc.
• Concentra Health Services, Inc.
• Diego Ignacio Conci, M.D.
• Donald Patrick Condit, M.D.
• Patrick James Condit, D.D.S.
• Michelle M. Condon, MD
• Steff Beck Condon, MSW, LMSW,ACSW
• Amy Cone

• Psychologist in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2025; 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.