Organization Active NPI

Jenna Wierenga, PSYD LLC

  • Clinical Psychologist
  • Grandville, MI
National Provider Identifier
1992637508
Registry record updated May 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
JENNA WIERENGA, PSYD LLC
Practice address
4301 Canal Ave SW Ste E
Grandville, MI 49418-2667
Phone
(616) 403-2407
NPI assigned
May 30, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2026

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

Authorized official

Name
Dr. Jenna Suzann Wierenga, PSYDNPI 1477783843
Title
Clinical Psychologist
Phone
(616) 403-2407

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

4301 Canal Ave SW Ste E
Grandville, MI 49418-2667

Mailing address

4421 Penny LN SW
Wyoming, MI 49418-9383
Phone (616) 403-2407

National Provider Directory

National Provider Directory

Locations

4301 Canal Ave SW
Ste E
Grandville, MI 49418
Phone (616) 253-6268

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1780099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780099200000",
    "number": "1992637508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4421 PENNY LN SW",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "494189383",
            "telephone_number": "616-403-2407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 CANAL AVE SW STE E",
            "city": "GRANDVILLE",
            "state": "MI",
            "postal_code": "494182667",
            "telephone_number": "616-403-2407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNA WIERENGA, PSYD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-30",
        "last_updated": "2026-05-30",
        "certification_date": "2026-05-30",
        "status": "A",
        "authorized_official_last_name": "WIERENGA",
        "authorized_official_first_name": "JENNA",
        "authorized_official_middle_name": "SUZANN",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "616-403-2407",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grandville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2026; 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.