Individual provider Active NPI

William Robert Meermans Jr., PHD

  • Psychologist
  • East Lansing, MI
National Provider Identifier
1780780734
Registry record updated Oct 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6801007002 Issued in MI
Practice address
415 W Grand River Ave
East Lansing, MI 48823-4201
Phone
(517) 351-1234
Fax
(517) 333-8777
NPI assigned
Sep 16, 2006
Last updated
Oct 30, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 6801007002 MI Primary

Addresses

Primary practice location

415 W Grand River Ave
East Lansing, MI 48823-4201

Mailing address

415 W Grand River Ave
East Lansing, MI 48823-4201
Phone (517) 351-1234

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060418000019 MI Practitioner - Clinical Psychologist 8628087830 Practice locations: East Lansing, MI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

415 W Grand River Ave
East Lansing, MI 48823-4201
Phone 51735112341

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
6801007002MIMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Lion Heart Psychiatry, PLLC Past Accepting new patients
Comprehensive Psychological Services PC PastSince Aug 5, 2013 Accepting new patients
Kmkimmerly Counseling LLC Past Accepting new patients
Comprehensive Psychological Service, PLLC PastSince Dec 9, 2019 Accepting new patients

Organizations & group practices 4

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": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446163200000",
    "number": "1780780734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 W GRAND RIVER AVE",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488234201",
            "telephone_number": "517-351-1234",
            "fax_number": "517-333-8777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 W GRAND RIVER AVE",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488234201",
            "telephone_number": "517-351-1234",
            "fax_number": "517-333-8777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEERMANS",
        "first_name": "WILLIAM",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2015-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6801007002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Lansing, MI

Sources for this page

Verify at the official NPI Registry.