Amy Lynn Jarchow, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301013622 Issued in MI

Practice address

2851 Charlevoix Dr SE Ste 323
Grand Rapids, MI 49546-7092

Phone

(616) 458-0692

Fax

(616) 458-8129

NPI assigned

Nov 2, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Clinical Psychologist

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Hra Psychological Services PCGroup PAC ID 8820994031, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Hra Psychological Services PC

  • Clinical Psychologist
  • Grand Rapids, MI
  • NPI 1003859984

  MI, Psychologist

  Medicare reassignment Care Compare group NPD
• Kenneth P. Lindsey, PHD, PA

  • Psychologist
  • Pocatello, ID
  • NPI 1255459608
  NPD (past)

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735776000000",
    "number": "1952480915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3940 PENINSULAR DR SE STE 230",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495466187",
            "telephone_number": "616-458-0692",
            "fax_number": "616-458-8129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2851 CHARLEVOIX DR SE STE 323",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495467092",
            "telephone_number": "616-458-0692",
            "fax_number": "616-458-8129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARCHOW",
        "first_name": "AMY",
        "middle_name": "LYNN",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301013622",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 2 NPI",
            "identifier": "1003859984",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeanna Beth Janssen
• Janus RX LLC
• Mackenzie Janusz
• Connie Januzelli, DO
• Amanda N Janvier
• Susan Marie Jarchow, RN
• Krishna Jariwala
• Christine Catherine Jarocki, DPM
• Lori Ann Jarosch, PA-C
• Kathleen Jarrett, MD

• All providers in Grand Rapids, MI
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.