Edmee Psychological Services

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

4301078556 Issued in MI

Legal business name

EDMEE PSYCHOLOGICAL SERVICES

Practice address

2323 E Paris Ave SE
Suite 101
Grand Rapids, MI 49546-2414

Phone

(616) 242-0099

Fax

(616) 242-0099

NPI assigned

Nov 29, 2012

Organization subpart

No

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

Authorized official

Name

Stacey Marquee, MA LLP

Title

Psychologist/Administrator

Phone

(616) 443-8968

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1354147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354147200000",
    "number": "1710222971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 E PARIS AVE SE",
            "address_2": "SUITE 101",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495462414",
            "telephone_number": "616-242-0099",
            "fax_number": "616-242-0099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 E PARIS AVE SE",
            "address_2": "SUITE 101",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495462414",
            "telephone_number": "616-242-0099",
            "fax_number": "616-242-0099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDMEE PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-29",
        "last_updated": "2012-11-29",
        "status": "A",
        "authorized_official_last_name": "MARQUEE",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "PSYCHOLOGIST/ADMINISTRATOR",
        "authorized_official_telephone_number": "616-443-8968",
        "authorized_official_credential": "MA LLP"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301013480",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "MI",
            "license": "4301078556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Addison Edgington
• Cathleen Marie Edick, PHARMD
• Jacklyn Eding, LMSW
• Adam Edlund, MD
• John H Edlund, MD
• Deandrea Edmonds
• Carrie A Edmunds
• Edp of Mi, PC
• Michelle Edsall, LLMSW
• Roger W. Edvenson, M.D.

• Child & Adolescent Psychiatry Physician in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Child & Adolescent Psychiatry Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2012; 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.