Allen Winebarger, PHD

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

6301010934 Issued in MI

Practice address

509 Franklin Ave
Grand Haven, MI 49417-1400

Phone

(616) 844-4140

Fax

(616) 604-1437

NPI assigned

Mar 4, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Schantz Psychological Services PLLC

  • Psychologist
  • Grand Haven, MI
  • NPI 1467727032
  NPD (past)
• Wendy Elzinga Ma LLP, PLLC

  • Counseling Psychologist
  • Grand Haven, MI
  • NPI 1568737195
  NPD (past)

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

{
    "created_epoch": "1172966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1831228139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 FRANKLIN AVE",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494171400",
            "telephone_number": "616-844-4140",
            "fax_number": "616-604-1437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 FRANKLIN AVE",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494171400",
            "telephone_number": "616-844-4140",
            "fax_number": "616-604-1437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINEBARGER",
        "first_name": "ALLEN",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-04",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "MI",
            "license": "6301010934",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "0G04527",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHOLOGIST LICENSE #",
            "identifier": "6301010934",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emma Williams
• Isabella Milan Williams
• Kyle Williams, MSW
• Shyra Ayn Williams, LMSW, ACTP
• Sydne Williams, PA-C
• Brooke Morgan Winterhalter, LMSW
• Savannah R Wirth, MA
• Karen E Wiseman, MD
• Joshua C Wisenbaugh
• Lillian Wiser

• Clinical Child & Adolescent Psychologist in Grand Haven, MI
• Providers in Grand Haven, MI by specialty
• Clinical Child & Adolescent Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; 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.