Active NPI
Suzann Maree Ogland-Hand, PH.D.
- Clinical Psychologist
- Grand Rapids, MI
National Provider Identifier
1669417291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 630101005
- Practice address
- 2020 Raybrook St SE
Grand Rapids, MI 49546-7717 - Phone
- (616) 443-2934
- NPI assigned
- Jun 18, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 630101005 | MI | |
| Clinical Psychologist | 103TC0700X | 630101005 | MI | Primary |
Addresses
Primary practice location
2020 Raybrook St SE
Grand Rapids, MI 49546-7717
Mailing address
300 68TH St SE
Grand Rapids, MI 49548-6927
Phone (616) 443-2934
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D16189043 | Other | MI | MEDICARE |
| 680D161890 | Other | MI | BC/BS |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
2020 Raybrook St SE
Suite 308
Grand Rapids, MI 49546-7717
Phone (616) 649-1010
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 630101005 | MI | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ogland-Hand Consulting LLC | Clinical | Current | Accepting new patients |
Locations
2020 Raybrook St SE
Ste 308
Grand Rapids, MI 49546
Phone (616) 649-1010
5060 Cascade Rd SE
Ste D
Grand Rapids, MI 49546
Phone (616) 454-2911
Organizations & group practices 1
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.
-
- Clinical Psychologist
- Grand Rapids, MI
- NPI 1154715274
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712966400000",
"number": "1669417291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 68TH ST SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495486927",
"telephone_number": "616-443-2934"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2020 RAYBROOK ST SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495467717",
"telephone_number": "616-443-2934"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OGLAND-HAND",
"first_name": "SUZANN",
"middle_name": "MAREE",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-18",
"last_updated": "2024-04-13",
"certification_date": "2024-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MI",
"license": "630101005",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MI",
"license": "630101005",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "D16189043",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "680D161890",
"state": "MI"
}
],
"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 Apr 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.