Holland Psychological Services PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

HOLLAND PSYCHOLOGICAL SERVICES PLLC

Practice address

250 Monroe Ave NW # 2511
Grand Rapids, MI 49503-2211

Phone

(313) 424-9995

NPI assigned

Nov 11, 2024

Organization subpart

No

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

Authorized official

Name

Lawrence Michael Kalb, PH.D.NPI 1225331051

Title

Psychologist

Phone

(313) 424-9995

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 1

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

• Lawrence Michael Kalb, PH.D.

  • Clinical Child & Adolescent Psychologist
  • San Francisco, CA
  • NPI 1225331051

  MI

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1731283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731283200000",
    "number": "1932923596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6143 MADISON ST",
            "city": "COLOMA",
            "state": "MI",
            "postal_code": "490389335",
            "telephone_number": "313-424-9995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 MONROE AVE NW # 2511",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032211",
            "telephone_number": "313-424-9995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLAND PSYCHOLOGICAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-11",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A",
        "authorized_official_last_name": "KALB",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "313-424-9995",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathy Jo Holkeboer
• Noah Holkeboer, PA-S
• Holland Home
• Holland Home
• Holland Home
• Jordyn Leigh Holland
• Sage Malina Holland, BS
• Harold N. Hollander, D.O.
• Robin Joy Hollebeek, PT
• Virginia Aiken Hollemans, LMSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2024; 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.