Ado Medical, PC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

ADO MEDICAL, PC

Practice address

625 Kenmoor Ave SE Ste 301
Grand Rapids, MI 49546-2395

Phone

(616) 229-2935

NPI assigned

Jan 26, 2021

Last updated

Jan 26, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Debra Davisson

Title

Biller/Coder

Phone

(517) 740-0184

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1611619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611619200000",
    "number": "1891385530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 KENMOOR AVE SE STE 301",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495462395",
            "telephone_number": "616-229-2935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 KENMOOR AVE SE STE 301",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495462395",
            "telephone_number": "616-229-2935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADO MEDICAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-26",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A",
        "authorized_official_last_name": "DAVISSON",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "BILLER/CODER",
        "authorized_official_telephone_number": "517-740-0184"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "103TP0016X",
            "taxonomy_group": "",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melinda Ann Adema, PTA
• Olusanjo Olaoluwa Adeoye, MD, MBA
• Olivia Rachel Adgate, CTRS
• Sarah Jean Adkison, BSW
• Andrea C Adler, PA
• Adolescent and Family Behavioral Health Services
• Adrian J Denboer (DBC Natural Holistic Health Center, PLLC)
• Jessie Marie Adrianson
• Miriam Adrianson, MD
• Isabelle Adsmond

• Psychologist in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; 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.