Active NPI
Arthur Edward Jongsma Jr., PHD
- Psychologist
- Grand Rapids, MI
National Provider Identifier
1821196262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6301001449
- Practice address
- 3351 Claystone SE
Suite 212
Grand Rapids, MI 49546-5781 - Phone
- (616) 954-1992
- Fax
- (616) 954-1998
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 6301001449 | MI | Primary |
Addresses
Primary practice location
3351 Claystone SE
Suite 212
Grand Rapids, MI 49546-5781
Mailing address
3351 Claystone SE
Suite 212
Grand Rapids, MI 49546-5781
Phone (616) 954-1992
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301001449 | MI | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Life Guidance Services | Psychologist | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1821196262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3351 CLAYSTONE SE",
"address_2": "SUITE 212",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495465781",
"telephone_number": "616-954-1992",
"fax_number": "616-954-1998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3351 CLAYSTONE SE",
"address_2": "SUITE 212",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495465781",
"telephone_number": "616-954-1992",
"fax_number": "616-954-1998"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONGSMA",
"first_name": "ARTHUR",
"middle_name": "EDWARD",
"name_suffix": "Jr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MI",
"license": "6301001449",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.