Lauren Elizabeth Spoon, PSY.D.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

6301014214 Issued in MI

Practice address

3333 36TH St SE
Grand Rapids, MI 49512-2809

Phone

(616) 954-3540

Fax

(616) 954-3541

NPI assigned

Sep 4, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Healthcall of Detroit

  • Nursing Care Agency
  • Royal Oak, MI
  • NPI 1497760086
  NPD (past)

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

{
    "created_epoch": "1188864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254441600000",
    "number": "1861686784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 36TH ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495122809",
            "telephone_number": "616-954-3540",
            "fax_number": "616-954-3541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 36TH ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495122809",
            "telephone_number": "616-954-3540",
            "fax_number": "616-954-3541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPOON",
        "first_name": "LAUREN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-04",
        "last_updated": "2009-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "MI",
            "license": "6301014214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan Spitzley
• Leanne Dena Spoelma, PA-C
• Jessica Spohn
• Ysabel Sophia Spohn
• Mark Spoolstra, MD
• Deborah Denise Spoors, MA
• Sport and Injury Clinics
• Danielle Sporte, RD
• Rachel Sportel, NP
• James Anthony Spoto, DO

• Clinical Neuropsychologist in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Clinical Neuropsychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.