NPIMap

Organization Active NPI

Psychoanalytical & Research Foundation

  • Psychoanalysis Psychologist
  • Grandville, MI
National Provider Identifier
1821525569
Registry record updated May 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychoanalysis PsychologistTaxonomy code 103TP0814X
Legal business name
PSYCHOANALYTICAL & RESEARCH FOUNDATION
Practice address
2885 Sanford Ave SW # 23719
Grandville, MI 49418-1342
Phone
(425) 606-5304
NPI assigned
May 12, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2017

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

Authorized official

Name
Dr. Anne Edwards, PHD
Title
Authorized Official
Phone
(425) 606-5304

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychoanalysis PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TP0814X Primary

Addresses

Primary practice location

2885 Sanford Ave SW # 23719
Grandville, MI 49418-1342

Mailing address

2885 Sanford Ave SW # 23719
Grandville, MI 49418-1342

National Provider Directory

National Provider Directory
Tax ID family
Psychoanalytical Research Foundation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1494547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494547200000",
    "number": "1821525569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2885 SANFORD AVE SW # 23719",
            "city": "GRANDVILLE",
            "state": "MI",
            "postal_code": "494181342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2885 SANFORD AVE SW # 23719",
            "city": "GRANDVILLE",
            "state": "MI",
            "postal_code": "494181342",
            "telephone_number": "425-606-5304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOANALYTICAL & RESEARCH FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-12",
        "last_updated": "2017-05-12",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "ANNE",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "425-606-5304",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TP0814X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Psychoanalysis",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grandville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.