Individual provider Active NPI

Richard Louis Allers, PH.D.

  • Psychologist
  • Grandville, MI
National Provider Identifier
1992842777
Registry record updated Nov 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6301000976 Issued in MI
Practice address
4320 44TH St SW
Suite 103
Grandville, MI 49418-2300
Phone
(616) 826-4814
Fax
(616) 866-0480
NPI assigned
Jan 31, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 6301000976 MI Primary

Addresses

Primary practice location

4320 44TH St SW
Suite 103
Grandville, MI 49418-2300

Mailing address

2300 Algoma Woods Dr NE
Rockford, MI 49341-9157
Phone (616) 826-1814

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6301000976MIMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194220800000",
    "number": "1992842777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 ALGOMA WOODS DR NE",
            "city": "ROCKFORD",
            "state": "MI",
            "postal_code": "493419157",
            "telephone_number": "616-826-1814",
            "fax_number": "616-866-0480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4320 44TH ST SW",
            "address_2": "SUITE 103",
            "city": "GRANDVILLE",
            "state": "MI",
            "postal_code": "494182300",
            "telephone_number": "616-826-4814",
            "fax_number": "616-866-0480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLERS",
        "first_name": "RICHARD",
        "middle_name": "LOUIS",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2007-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301000976",
            "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 Nov 5, 2007; 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.