Kooistra & Associates Psychological Services LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301007943 Issued in MI

Legal business name

KOOISTRA & ASSOCIATES PSYCHOLOGICAL SERVICES LLC

Practice address

41 Washington Ave
Suite 365
Grand Haven, MI 49417-1390

Phone

(616) 638-7557

NPI assigned

Mar 14, 2017

Organization subpart

No

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

Authorized official

Name

William Kooistra

Title

Clinical Psychologist

Phone

(616) 638-7557

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1489449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489449600000",
    "number": "1790226413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 WASHINGTON AVE",
            "address_2": "SUITE 365",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494171390",
            "telephone_number": "616-638-7557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 WASHINGTON AVE",
            "address_2": "SUITE 365",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494171390",
            "telephone_number": "616-638-7557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOOISTRA & ASSOCIATES PSYCHOLOGICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-14",
        "last_updated": "2017-03-14",
        "status": "A",
        "authorized_official_last_name": "KOOISTRA",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "616-638-7557"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301007943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Liam Joseph Knisley, RBT
• Katarina Nicole Koekkoek
• Catherine Anne Kolacz
• Kimberlee Kolb, LMT
• Jason A. Kooi, PT
• William P. Kooistra, PH.D.
• Wendy S Kopitsch, LMSW
• Miranda Marie Kovalcik
• Julie M Kowacz, MD
• Steven Robert Kraft, D.C.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2017; 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.