Julia Bernice De Jonge, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

1816731 Issued in MI

Practice address

4469 Cascade Rd SE
Suite 4469
Grand Rapids, MI 49546-3632

Phone

(616) 940-3331

NPI assigned

Jan 19, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Psychologist

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cragwall & Associates P.C.

  • Clinical Social Worker
  • Grand Rapids, MI
  • NPI 1356356265
  NPD (past)

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801949979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4469 CASCADE RD SE",
            "address_2": "SUITE 4469",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495463632",
            "telephone_number": "616-940-3331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4469 CASCADE RD SE",
            "address_2": "SUITE 4469",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495463632",
            "telephone_number": "616-940-3331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE JONGE",
        "first_name": "JULIA",
        "middle_name": "BERNICE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "1816731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mattie A De Boe, LMSW
• Jack De Boer, CCC-A
• Joshua Jan De Castro, RPH
• Steven Renze De Groot, PH.D
• Michelle Del Castillo De Jesus Brazitis, M.D.
• Eva Marie De la Cruz
• Marimar De la Cruz
• Leticia De la Paz
• William Anthony De Las Navas, M.D.
• De Leeuw Chiropractic Center PC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.