Individual provider Active NPI

Janette D Curtis, LLP

  • Clinical Psychologist
  • Jenison, MI
National Provider Identifier
1669740767
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301014917 Issued in MI
Practice address
1836 Baldwin St
Jenison, MI 49428-8901
Phone
(616) 457-0016
Fax
(616) 457-1950
NPI assigned
Dec 5, 2011
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 6301014917 MI Primary
Counseling Psychologist 103TC1900X 6301014917 MI

Addresses

Primary practice location

1836 Baldwin St
Jenison, MI 49428-8901

Mailing address

1836 Baldwin St
Jenison, MI 49428-8901
Phone (616) 457-0016

Other practice location 1

1115 Ball Ave NE
Grand Rapids, MI 49505-5904
Phone (616) 459-7215 ext. 1319

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6301014917MIMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Arbor Circle Corporation Past Accepting new patients
Optum Behavioral Care of Colorado, P.C. Past Accepting new patients

Organizations & group practices 2

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": "1323043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1669740767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1836 BALDWIN ST",
            "city": "JENISON",
            "state": "MI",
            "postal_code": "494288901",
            "telephone_number": "616-457-0016",
            "fax_number": "616-457-1950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1836 BALDWIN ST",
            "city": "JENISON",
            "state": "MI",
            "postal_code": "494288901",
            "telephone_number": "616-457-0016",
            "fax_number": "616-457-1950"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1115 Ball Ave NE",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495055904",
            "country_code": "US",
            "telephone_number": "616-459-7215 x1319",
            "fax_number": "616-451-0020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CURTIS",
        "first_name": "JANETTE",
        "middle_name": "D",
        "credential": "LLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-05",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301014917",
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MI",
            "license": "6301014917",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jenison, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.