Active NPI
Acorn Hill Psychology PLLC
- Clinical Psychologist
- Caledonia, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6301008866
- Legal business name
- ACORN HILL PSYCHOLOGY PLLC
- Practice address
- 7150 Kalamazoo Ave SE
Suite C
Caledonia, MI 49316 - Phone
- (616) 219-0159
- Fax
- (616) 219-0124
- NPI assigned
- Feb 7, 2017
- Last updated
- Jan 22, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Graceann Robertson, PH.D.
- Title
- Clinical Psychologist
- Phone
- (616) 443-6270
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 6301008866 | MI | Primary |
Addresses
Primary practice location
7150 Kalamazoo Ave SE
Suite C
Caledonia, MI 49316
Mailing address
7150 Kalamazoo Ave SE
Suite C
Caledonia, MI 49316-4625
Phone (616) 219-0159
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, ME
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
771 Narragansett Trl
Ste 4
Buxton, ME 04093
Phone (207) 900-1892
4540 Kalamazoo Ave SE
Ste 11
Kentwood, MI 49508
Phone (616) 818-7454
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
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- Scarborough, ME
- NPI 1588767594
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- Chiropractor
- Scarborough, ME
- NPI 1205998002
-
- Chiropractor
- South Portland, ME
- NPI 1962838276
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486425600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1548115200000",
"number": "1861930158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7150 KALAMAZOO AVE SE",
"address_2": "SUITE C",
"city": "CALEDONIA",
"state": "MI",
"postal_code": "493164625",
"telephone_number": "616-219-0159",
"fax_number": "616-219-0124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7150 KALAMAZOO AVE SE",
"address_2": "SUITE C",
"city": "CALEDONIA",
"state": "MI",
"postal_code": "49316",
"telephone_number": "616-219-0159",
"fax_number": "616-219-0124"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ACORN HILL PSYCHOLOGY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-02-07",
"last_updated": "2019-01-22",
"status": "A",
"authorized_official_last_name": "ROBERTSON",
"authorized_official_first_name": "GRACEANN",
"authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
"authorized_official_telephone_number": "616-443-6270",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MI",
"license": "6301008866",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Caledonia, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.