Organization Active NPI

Catherine a Vandewege LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Grand Rapids, MI
National Provider Identifier
1912471863
Registry record updated Jan 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
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, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2019

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1225245517MedicaidMI

National Provider Directory

National Provider Directory

Practitioners & 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.

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

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.

Verify at the official NPI Registry.