Active NPI
Lennis James Baggech, LLP
- Clinical Psychologist
- Holland, MI
National Provider Identifier
1831309665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6301011045
- Practice address
- 493 Century LN
Holland, MI 49423-4286 - Phone
- (616) 355-0411
- Fax
- (616) 355-9820
- NPI assigned
- May 23, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 6301011045 | MI | Primary |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 6301011045 | MI |
Addresses
Primary practice location
493 Century LN
Holland, MI 49423-4286
Mailing address
493 Century LN
Holland, MI 49423-4286
Phone (616) 355-0411
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301011045 | MI | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1831309665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "493 CENTURY LN",
"city": "HOLLAND",
"state": "MI",
"postal_code": "494234286",
"telephone_number": "616-355-0411",
"fax_number": "616-355-9820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "493 CENTURY LN",
"city": "HOLLAND",
"state": "MI",
"postal_code": "494234286",
"telephone_number": "616-355-0411",
"fax_number": "616-355-9820"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAGGECH",
"first_name": "LENNIS",
"middle_name": "JAMES",
"name_prefix": "Mr.",
"credential": "LLP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-23",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MI",
"license": "6301011045",
"primary": true
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "MI",
"license": "6301011045",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Holland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.