Active NPI
Catherine a Vandewege LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Grand Rapids, MI
National Provider Identifier
1912471863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- CATHERINE A VANDEWEGE LLC
- Practice address
- 800 Monroe Ave NW Ste 201
Grand Rapids, MI 49503-1448 - Phone
- (616) 574-4098
- Fax
- (313) 202-8257
- NPI assigned
- Jan 14, 2019
- Last updated
- Jan 14, 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
- Catherine Anne Hinton Vandewege, LMSW, CAADC
- Title
- Clinical Social Worker
- Phone
- (616) 574-4098
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | NU | Primary |
Addresses
Primary practice location
800 Monroe Ave NW Ste 201
Grand Rapids, MI 49503-1448
Mailing address
2250 Sylvan Ave SE
Grand Rapids, MI 49506-5253
Phone (616) 574-4098
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225245517 | Medicaid | MI |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Clinical Social Worker
- Grand Rapids, MI
- NPI 1225245517
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547424000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1547424000000",
"number": "1912471863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2250 SYLVAN AVE SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495065253",
"telephone_number": "616-574-4098",
"fax_number": "313-202-8257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 MONROE AVE NW STE 201",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495031448",
"telephone_number": "616-574-4098",
"fax_number": "313-202-8257"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CATHERINE A VANDEWEGE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-01-14",
"last_updated": "2019-01-14",
"status": "A",
"authorized_official_last_name": "HINTON VANDEWEGE",
"authorized_official_first_name": "CATHERINE",
"authorized_official_middle_name": "ANNE",
"authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
"authorized_official_telephone_number": "616-574-4098",
"authorized_official_credential": "LMSW, CAADC"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1225245517",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grand Rapids, MI
- Melissa Catanach, PT, DPT
- Avery Cater
- Sidney Cater
- Elizabeth Lynn Caterino
- Christina Cathelyn, BCBA
- Catherine's Health Center (Catherine's Health Center at Crossroads Bible Church)
- Catherine's Health Center (Catherine's Health Center Degage)
- Catherine's Health Center (Catherine's Health Center Harrison)
- Catherine's Health Center (Catherine's Health Center - Crossroads)
- Catherine's Health Center (Catherine's Health Center - Mel Trotter)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.