Karen M Vandeusen, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301010798 Issued in MI

Practice address

4467 Cascade Rd SE Suite 4481
Grand Rapids, MI 49546

Phone

(616) 942-8060

Fax

(616) 942-6690

NPI assigned

Mar 7, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

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

• Hra Psychological Services PC

  • Clinical Psychologist
  • Grand Rapids, MI
  • NPI 1003859984
  NPD (past)

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649247875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 120125",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495280103",
            "telephone_number": "616-942-8060",
            "fax_number": "616-942-6690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4467 CASCADE RD SE SUITE 4481",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "49546",
            "telephone_number": "616-942-8060",
            "fax_number": "616-942-6690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDEUSEN",
        "first_name": "KAREN",
        "middle_name": "M",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301010798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia Ann Vanderzanden, AUD
• Jamie Elise Vanderzwaag, LLMSW
• Leah Hope Vanderzwaag, RN BSN
• Melissa Jeanne Vanderzyden, LMSW
• Amber Vandeusen, LMSW
• Zachary Thomas Vandeveer, MD
• Jennafer Ann Vandevegte, PT
• Christopher Everett Vandeven, D.D.S.
• Sarah Koop Vandeven, MSN, CRNP
• Margaret Vandewater, NP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.