Active NPI
Reineke Consulting, LLC
- Clinical Neuropsychologist
- Grand Rapids, MI
National Provider Identifier
1952780686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 6301009314
- Legal business name
- REINEKE CONSULTING, LLC
- Practice address
- 2020 Raybrook St SE Ste 308
Grand Rapids, MI 49546-7717 - Phone
- (616) 649-1010
- Fax
- (616) 551-2895
- NPI assigned
- May 27, 2015
- 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
- Dr. Lori Reineke, PH.D.
- Title
- President
- Phone
- (616) 649-1010
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 6301009314 | MI | Primary |
| Clinical Psychologist | 103TC0700X | 6301009314 | MI |
Addresses
Primary practice location
2020 Raybrook St SE Ste 308
Grand Rapids, MI 49546-7717
Mailing address
2020 Raybrook St SE Ste 308
Grand Rapids, MI 49546-7717
Phone (616) 649-1010
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
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.
-
- Clinical Psychologist
- Grand Rapids, MI
- NPI 1790765170
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432684800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1682035200000",
"number": "1952780686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2020 RAYBROOK ST SE STE 308",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495467717",
"telephone_number": "616-649-1010",
"fax_number": "616-551-2895"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2020 RAYBROOK ST SE STE 308",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495467717",
"telephone_number": "616-649-1010",
"fax_number": "616-551-2895"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REINEKE CONSULTING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-05-27",
"last_updated": "2023-04-21",
"certification_date": "2023-04-21",
"status": "A",
"authorized_official_last_name": "REINEKE",
"authorized_official_first_name": "LORI",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "616-649-1010",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Clinical Neuropsychologist",
"state": "MI",
"license": "6301009314",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "MI",
"license": "6301009314",
"primary": false
}
],
"identifiers": [],
"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 Apr 21, 2023; 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.