Active NPI
Gabrielle Vanwert, MA
- Psychologist
- Lansing, MI
National Provider Identifier
1851946057
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6362010027
- Practice address
- 1717 N High St
Lansing, MI 48906-4529 - Phone
- (517) 372-4700
- NPI assigned
- Aug 5, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 6362010027 | MI | Primary |
| Case Manager/Care Coordinator | 171M00000X |
Addresses
Primary practice location
1717 N High St
Lansing, MI 48906-4529
Mailing address
1717 N High St
Lansing, MI 48906-4597
Phone (517) 320-2420
Other practice location 1
6692 Spring Arbor Rd
Jackson, MI 49201-9812
Phone (517) 750-3869
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6362010027 | MI | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cristo Rey Community Center | Past | Accepting new patients | |
| Catholic Charities of Ingham, Eaton and Clinton Counties | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Practice Physician
- Lansing, MI
- NPI 1407800931
-
- Addiction (Substance Use Disorder) Counselor
- Lansing, MI
- NPI 1700901964
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725494400000",
"number": "1851946057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1717 N HIGH ST",
"city": "LANSING",
"state": "MI",
"postal_code": "489064597",
"telephone_number": "517-320-2420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1717 N HIGH ST",
"city": "LANSING",
"state": "MI",
"postal_code": "489064529",
"telephone_number": "517-372-4700"
}
],
"practiceLocations": [
{
"address_1": "6692 Spring Arbor Rd",
"address_purpose": "LOCATION",
"city": "Jackson",
"state": "MI",
"postal_code": "492019812",
"country_code": "US",
"telephone_number": "517-750-3869",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VANWERT",
"first_name": "GABRIELLE",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-05",
"last_updated": "2024-09-05",
"certification_date": "2024-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MI",
"license": "6362010027",
"primary": true
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lansing, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.