Hannah Baxendale, MA, TLLP

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6362009655 Issued in MI

Practice address

640 3 Mile Rd NW Ste G
Grand Rapids, MI 49544-8209

Phone

(616) 369-8433

NPI assigned

Oct 26, 2017

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)

Not enrolled

Credentials

Master of Arts

State licenses

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.

• Creating Brighter Futures

  • Speech-Language Pathologist
  • Ann Arbor, MI
  • NPI 1891411542
  NPD (past)
• Creating Brighter Futures, Inc

  • Behavior Analyst
  • Ann Arbor, MI
  • NPI 1881939346
  NPD (past)

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

{
    "created_epoch": "1508976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699315200000",
    "number": "1700398039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 3 MILE RD NW STE G",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495448209",
            "telephone_number": "616-369-8433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 3 MILE RD NW STE G",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495448209",
            "telephone_number": "616-369-8433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAXENDALE",
        "first_name": "HANNAH",
        "credential": "MA, TLLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-26",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6362009655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elisabeth Jane Bauman
• Maraya Baumanis, MD
• David Baumgartner, MD
• Kathryn G Baumgras, LBSW
• Kiva Da-Shan Bauswell, A-GNP
• Baxter Community Center
• Jessica J Baxter, PA
• Meara N Baxter
• Bay Harbor Counseling PLLC
• Adeline Bayer

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2023; 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.