Robert W Van Noord PC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

6301001896 Issued in MI

Legal business name

ROBERT W VAN NOORD PC

Practice address

4133 Embassy Dr SE
Grand Rapids, MI 49546-2418

Phone

(616) 956-6700

Fax

(616) 956-6773

NPI assigned

Dec 28, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Robert William Van Noord, PH.D.

Title

Licensed Psychologist/President

Phone

(616) 956-6700

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 2

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

• J. Patrick Duiven, PSY.D.

  • Clinical Psychologist
  • Grand Rapids, MI
  • NPI 1972685527
  NPD (past)
• Karen Marie Elbert, LMSW

  • Social Worker
  • Ada, MI
  • NPI 1598870362
  NPD (past)

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

{
    "created_epoch": "1293494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293494400000",
    "number": "1982908323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4133 EMBASSY DR SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495462418",
            "telephone_number": "616-956-6700",
            "fax_number": "616-956-6773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4133 EMBASSY DR SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495462418",
            "telephone_number": "616-956-6700",
            "fax_number": "616-956-6773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT W VAN NOORD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-28",
        "last_updated": "2010-12-28",
        "status": "A",
        "authorized_official_last_name": "VAN NOORD",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST/PRESIDENT",
        "authorized_official_telephone_number": "616-956-6700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "MI",
            "license": "6301001896",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD PIN",
            "identifier": "OD14556",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FPSYCHOLOGIST LICENSE #",
            "identifier": "6301001896",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hannah Robb, PT, DPT
• Jacob John Robbins
• Robert a. Strobel, DDS, PC
• Robert J Seledotis DO PC Inc
• Robert P Roberts Jr MD PC
• Geoffrey Hunt Robert, DDS
• Amber Nichole Roberti, LMSW
• Ashlee Roberts, PHARM. D.
• Breanne S Roberts, LMSW
• Christopher Donald Roberts, LMSW

• Adult Mental Health Clinic/Center in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Adult Mental Health Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2010; 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.