Janette D Curtis, LLP
Individual provider Active NPI Clinical Psychologist · Jenison, MI
NPI 1669740767 · NPPES record last updated Mar 17, 2018
Key facts
- NPI
- 1669740767
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 6301014917 (MI)
- Practice address
- 1836 Baldwin St
Jenison, MI 49428-8901 - Phone
- (616) 457-0016
- Fax
- (616) 457-1950
- NPI assigned
- Dec 5, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301014917 | MI | MD | Counseling Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arbor Circle Corporation | Past | Accepting new patients | |
| Optum Behavioral Care of Colorado, P.C. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 6301014917 | MI | |
| Clinical Psychologist | 103TC0700X | 6301014917 | MI | Yes |
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
Other providers in Jenison, MI
- Cooperative Physical Therapy, PLLC
- Salena Corner
- Craig S Rockwell DC PLLC
- Mayra Cuascut-Santini
- Heather Curie
- Kimberly Curtis
- Wendi Cuson
- Stephen Mitchael Dadd
- Elisabeth Dahl
- Daniel D Seitz DDS PC
All providers in Jenison, MI · Clinical Psychologist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.