Organization Active NPI

William P. McInnis Psy.D, P.C.

  • Clinical Psychologist
  • Grandville, MI
National Provider Identifier
1871756841
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
L947184 Issued in MI
Legal business name
WILLIAM P. MCINNIS PSY.D, P.C.
Practice address
2845 44TH St SW Ste 120
Grandville, MI 49418-2678
Phone
(616) 320-1205
Fax
(616) 805-4839
NPI assigned
Jul 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2026

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

Authorized official

Name
Dr. William P McInnis, PSY.D.NPI 1427168285
Title
Owner
Phone
(616) 320-1205

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)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X L947184 MI Primary

Addresses

Primary practice location

2845 44TH St SW Ste 120
Grandville, MI 49418-2678

Mailing address

2845 44TH St SW Ste 120
Grandville, MI 49418-2678
Phone (616) 320-1205

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080922000441 MI Part B Supplier - Clinic/Group Practice 2365519030 Receives reassigned benefits from 1 practitioner
Practice locations: Grand Rapids, MI

National Provider Directory

National Provider Directory

Locations

640 3 Mile Rd NW
Ste 101
Grand Rapids, MI 49544
Phone (616) 785-8900

2845 44th St SW
Ste 120
Grandville, MI 49418
Phone (616) 260-5615

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780358400000",
    "number": "1871756841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2845 44TH ST SW STE 120",
            "city": "GRANDVILLE",
            "state": "MI",
            "postal_code": "494182678",
            "telephone_number": "616-320-1205",
            "fax_number": "616-805-4839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2845 44TH ST SW STE 120",
            "city": "GRANDVILLE",
            "state": "MI",
            "postal_code": "494182678",
            "telephone_number": "616-320-1205",
            "fax_number": "616-805-4839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM P. MCINNIS PSY.D, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-09",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A",
        "authorized_official_last_name": "MCINNIS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-320-1205",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "L947184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grandville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2026; 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.

Verify at the official NPI Registry.