Organization Active NPI

Leonard Vanderjagt, PH.D. & Associates

  • Adult Mental Health Clinic/Center
  • Haslett, MI
National Provider Identifier
1801030341
Registry record updated Apr 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
LEONARD VANDERJAGT, PH.D. & ASSOCIATES
Practice address
1660 Haslett Rd
Haslett, MI 48840-8469
Phone
(517) 349-6590
Fax
(517) 349-6590
NPI assigned
Apr 28, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2009

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

Authorized official

Name
Leonard Vanderjagt, PH.D.NPI 1326054495
Title
Owner
Phone
(517) 349-6590

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

1660 Haslett Rd
Haslett, MI 48840-8469

Mailing address

4470 Maumee Dr
Okemos, MI 48864-2448
Phone (517) 349-6590

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1240876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240876800000",
    "number": "1801030341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4470 MAUMEE DR",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488642448",
            "telephone_number": "517-349-6590",
            "fax_number": "517-349-6590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 HASLETT RD",
            "city": "HASLETT",
            "state": "MI",
            "postal_code": "488408469",
            "telephone_number": "517-349-6590",
            "fax_number": "517-349-6590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEONARD VANDERJAGT, PH.D. & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-28",
        "last_updated": "2009-04-28",
        "status": "A",
        "authorized_official_last_name": "VANDERJAGT",
        "authorized_official_first_name": "LEONARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-349-6590",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haslett, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2009; 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.