Individual provider Active NPI

David Robert Macrae, PH.D.

  • Marriage & Family Therapist
  • Grand Rapids, MI
National Provider Identifier
1942426929
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
002310 Issued in MI
Practice address
2025 E Beltline Ave SE
Suite #104
Grand Rapids, MI 49546-7630
Phone
(616) 957-3168
Fax
(616) 957-4133
NPI assigned
Apr 18, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 002310 MI
Cognitive & Behavioral Psychologist 103TB0200X 002310 MI
Clinical Psychologist 103TC0700X 002310 MI
Clinical Child & Adolescent Psychologist 103TC2200X 002310 MI
Family Psychologist 103TF0000X 002310 MI
Marriage & Family Therapist 106H00000X 002310 MI Primary

Addresses

Primary practice location

2025 E Beltline Ave SE
Suite #104
Grand Rapids, MI 49546-7630

Mailing address

2025 E Beltline Ave SE
Suite #104
Grand Rapids, MI 49546-7630
Phone (616) 957-3168

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090324000229 MI Practitioner - Clinical Psychologist 5890852636 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

640 3 Mile Rd NW
Suite 101
Grand Rapids, MI 49544-8209
Phone (616) 785-8900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
002310MIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
David R Macrae, PH.D., P.C. Clinical CurrentSince Apr 3, 1981 Accepting new patients

Locations

640 3 Mile Rd NW
Ste 101
Grand Rapids, MI 49544
Phone (616) 785-8900

2025 E Beltline Ave SE
Ste 104
Grand Rapids, MI 49546
Phone (616) 957-3168

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1942426929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 E BELTLINE AVE SE",
            "address_2": "SUITE #104",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495467630",
            "telephone_number": "616-957-3168",
            "fax_number": "616-957-4133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 E BELTLINE AVE SE",
            "address_2": "SUITE #104",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495467630",
            "telephone_number": "616-957-3168",
            "fax_number": "616-957-4133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACRAE",
        "first_name": "DAVID",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-18",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "002310",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "MI",
            "license": "002310",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "002310",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "MI",
            "license": "002310",
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "MI",
            "license": "002310",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MI",
            "license": "002310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.