Active NPI
Alexis Terpstra, BCBA, PSY.S
- School Psychologist
- Grand Rapids, MI
National Provider Identifier
1902255284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- SP0000001061481
- Practice address
- 2930 Knapp St NE
Grand Rapids, MI 49525-4518 - Phone
- (616) 558-2885
- NPI assigned
- Jun 8, 2016
- 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 |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | BACB354690 | MI | |
| School Psychologist | 103TS0200X | SP0000001061481 | MI | Primary |
Addresses
Primary practice location
2930 Knapp St NE
Grand Rapids, MI 49525-4518
Mailing address
1501 Mason St NE
Grand Rapids, MI 49503-1331
Phone (616) 558-2885
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BACB354690 | MI | MD | Behavioral Analyst |
| SP0000001061481 | MI | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736812800000",
"number": "1902255284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 MASON ST NE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495031331",
"telephone_number": "616-558-2885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2930 KNAPP ST NE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495254518",
"telephone_number": "616-558-2885"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TERPSTRA",
"first_name": "ALEXIS",
"credential": "BCBA, PSY.S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-08",
"last_updated": "2025-01-14",
"certification_date": "2025-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MI",
"license": "BACB354690",
"primary": false
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "MI",
"license": "SP0000001061481",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.