Organization Active NPI

Grand Rapids Psychological Testing LLC

  • Clinical Psychologist
  • Grand Rapids, MI
National Provider Identifier
1801712898
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
GRAND RAPIDS PSYCHOLOGICAL TESTING LLC
Practice address
2627 E Beltline Ave SE Ste 310
Grand Rapids, MI 49546-5937
Phone
(616) 386-5844
Fax
(616) 317-4738
NPI assigned
Jun 25, 2026
Last updated
Sep 29, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Authorized official

Name
Mari Coleman
Title
Billing Supervisor
Phone
(248) 545-2131

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

2627 E Beltline Ave SE Ste 310
Grand Rapids, MI 49546-5937

Mailing address

2627 E Beltline Ave SE Ste 310
Grand Rapids, MI 49546-5937
Phone (616) 386-5844

National Provider Directory

National Provider Directory

Locations

2627 E Beltline Ave SE
Ste 310
Grand Rapids, MI 49546
Phone (616) 386-5844

NPI Registry JSON

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

{
    "created_epoch": "1782345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790640000000",
    "number": "1801712898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2627 E BELTLINE AVE SE STE 310",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495465937",
            "telephone_number": "616-386-5844",
            "fax_number": "616-317-4738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2627 E BELTLINE AVE SE STE 310",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495465937",
            "telephone_number": "616-386-5844",
            "fax_number": "616-317-4738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND RAPIDS PSYCHOLOGICAL TESTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-25",
        "last_updated": "2026-09-29",
        "certification_date": "2026-09-29",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "MARI",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "248-545-2131"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; 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.