Gruppen Psychology Services LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

GRUPPEN PSYCHOLOGY SERVICES LLC

Practice address

655 Kenmoor Ave SE # 303
Grand Rapids, MI 49546-8622

Phone

(734) 649-7906

NPI assigned

Apr 17, 2023

Last updated

Jul 27, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Timothy Gruppen, PSYDNPI 1689912081

Title

Owner

Phone

(734) 649-7906

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Timothy Gruppen, PSYD

  • Clinical Psychologist
  • Grand Rapids, MI
  • NPI 1689912081
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1681689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690416000000",
    "number": "1710673348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 140241",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495140241",
            "telephone_number": "734-649-7906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 KENMOOR AVE SE # 303",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495468622",
            "telephone_number": "734-649-7906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRUPPEN PSYCHOLOGY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-17",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A",
        "authorized_official_last_name": "GRUPPEN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-649-7906",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David C Gruber, DDS, MS
• Zachary Gruchow
• Matthew Grudzinskas, PTA
• Beatrice Grund
• Mandy Michele Gruner, MS, RD, CSSD
• Maria G. Gruppen, PSY.D.
• Timothy Gruppen, PSYD
• Sera A Gruszka, PHD, LP
• Angela Marie Grutter, MA, LLPC
• Bethany Grysko, MS, CGC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.