NPIMap

Organization Active NPI

North Kent Guidance Services

  • Clinical Psychologist
  • Grand Rapids, MI
National Provider Identifier
1649574294
Registry record updated Dec 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
NORTH KENT GUIDANCE SERVICES
Practice address
5250 Northland Dr NE
Suite a
Grand Rapids, MI 49525-1096
Phone
(616) 361-5001
Fax
(616) 361-2166
NPI assigned
Dec 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2010

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

Authorized official

Name
Marianne Skilling
Title
Assistant Director
Phone
(616) 361-5001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

5250 Northland Dr NE
Suite a
Grand Rapids, MI 49525-1096

Mailing address

5250 Northland Dr NE
Suite a
Grand Rapids, MI 49525-1096
Phone (616) 361-5001

National Provider Directory

National Provider Directory
Tax ID family
North Kent LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5250 Northland Dr NE
Ste A
Grand Rapids, MI 49525
Phone (616) 361-5001

NPI Registry JSON

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

{
    "created_epoch": "1292976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292976000000",
    "number": "1649574294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5250 NORTHLAND DR NE",
            "address_2": "SUITE A",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495251096",
            "telephone_number": "616-361-5001",
            "fax_number": "616-361-2166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5250 NORTHLAND DR NE",
            "address_2": "SUITE A",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495251096",
            "telephone_number": "616-361-5001",
            "fax_number": "616-361-2166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH KENT GUIDANCE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-22",
        "last_updated": "2010-12-22",
        "status": "A",
        "authorized_official_last_name": "SKILLING",
        "authorized_official_first_name": "MARIANNE",
        "authorized_official_title_or_position": "ASSISTANT DIRECTOR",
        "authorized_official_telephone_number": "616-361-5001"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Dec 22, 2010; 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.