Elizabeth Bouwsma Oppewal, MA LLP

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6301009033 Issued in MI

Practice address

277 North St
Allegan, MI 49010-1138

Phone

(269) 673-5092

NPI assigned

Apr 28, 2009

Last updated

Apr 28, 2009By the provider in NPPES

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

Other names 1

• Liz Oppewal Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1240876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240876800000",
    "number": "1841434305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "644 HAWTHORNE ST NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495033412",
            "telephone_number": "616-443-8379",
            "fax_number": "269-686-4601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "277 NORTH ST",
            "city": "ALLEGAN",
            "state": "MI",
            "postal_code": "490101138",
            "telephone_number": "269-673-5092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OPPEWAL",
        "first_name": "ELIZABETH",
        "middle_name": "BOUWSMA",
        "credential": "MA LLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-28",
        "last_updated": "2009-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301009033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LIZ",
            "last_name": "OPPEWAL",
            "credential": "MA LLP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Psychologist in Allegan, MI
• Providers in Allegan, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2009; 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.