DR. STEVEN RENZE DE GROOT (NPI# 1073651493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073651493 |
| Entity Type | Individual |
| Full Name | DR. STEVEN RENZE DE GROOT |
| Credential | PH.D |
| Practice Address |
2015 Kalamazoo Ave Se Grand Rapids MI 49507-4003 |
| Practice Telephone | 6162434686 |
| Mailing Telephone | 6162434686 |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
6301011991 | MI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUE CROSS | 68-OD003550 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437509643 | Steven De Groot Jr. | Orthopaedic Surgery | 3471 5th Ave, 911 L.s. Kaufmann Bldg., Pittsburgh, PA 15213-3215 | 2016-06-18 |
| Street Address |
2015 KALAMAZOO AVE SE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49507-4003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760530166 | My Uyen Tran | Social Worker | 2015 Kalamazoo Ave Se, Grand Rapids, MI 49507-4003 | 2007-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487156956 | Kristen Zvirbulis Keeter | Physical Therapist | 625 Kenmoor Ave. Se Ste 306, Grand Rapids, MI 49507 | 2018-03-01 |
| 1508371758 | Vanessa Woodard | Case Manager/Care Coordinator | 1939 S. Division Ave., Grand Rapids, MI 49507 | 2017-12-11 |
| 1306350624 | Courtney Nicole Porter | Social Worker | 1979 S Division Ave., Grand Rapids, MI 49507 | 2017-11-22 |
| 1518496900 | 733 Prince LLC | Custodial Care Facility | 733 Prince St Se, Grand Rapids, MI 49507 | 2017-06-08 |
| 1720515406 | Tiffanie Ryder | Massage Therapist | 1110 Merrified St, Grand Rapids, MI 49507 | 2017-05-12 |
| 1619404308 | Shedrice's Afc | Respite Care | 246 Powell Se Ave, Grand Rapids, MI 49507 | 2017-05-12 |
| 1992171748 | Richard Lavell Flowers | Non-emergency Medical Transport (VAN) | 1447 Elliott, Grand Rapids, MI 49507 | 2015-08-17 |
| 1982096087 | Jordana Seebeck | Social Worker | 1939 S. Division Se, Grand Rapids, MI 49507 | 2015-02-26 |
| 1083973135 | Carla May Waite | Social Worker | 1939 South Division, Grand Rapids, MI 49507 | 2012-05-10 |
| 1740550037 | Jamie Lee Dalton | Social Worker | 2017 College Ave Se, Grand Rapids, MI 49507 | 2012-01-04 |
| Find all providers in zip 49507 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427553007 | Rachel E Keelan | Psychologist | 350 Lafayette Ave Se Fl 5, Grand Rapids, MI 49503-4656 | 2018-03-27 |
| 1235504655 | Olivia Torres Sprauer | Psychologist | 833 Kenmoor Ave Se Ste A, Grand Rapids, MI 49546-2390 | 2015-12-10 |
| 1366835589 | Dr Marcia Hollingsworth, Ed.d, Pllc | Psychologist | 2025 E Beltline Ave Se Ste 102, Grand Rapids, MI 49546-7673 | 2015-03-12 |
| 1881945855 | John Shepherd Carton | Psychologist | 265 Wealthy St Se, Grand Rapids, MI 49503 | 2012-10-01 |
| 1386995900 | Jane L. Spies-wert, Ph.d., P.C. | Psychologist | 15 Ionia Ave Sw, Suite 645, Grand Rapids, MI 49503-4102 | 2012-09-21 |
| 1144577396 | Amy Kristine Byerley | Psychologist | 668 3 Mile Rd Nw Ste D, Grand Rapids, MI 49544-8219 | 2012-08-07 |
| 1326271750 | Jonathan Jay Eggerichs | Psychologist | 770 Kenmoor Ave Se Ste 101, Grand Rapids, MI 49546-8621 | 2009-09-02 |
| 1669604658 | Lyndsay Kate Volpe-bertram | Psychologist | 1179 East Paris Ave Se, Grand Rapids, MI 49546-8371 | 2009-08-10 |
| 1568609659 | Dr. Steven A. Harris, P.C. | Psychologist | 2618 East Paris, S.e. Suite B, Grand Rapids, MI 49546 | 2009-01-12 |
| 1255586228 | Dominic Amante | Psychologist | 29 Pearl N.w., 114 Federal Square Bldg., Grand Rapids, MI 49503 | 2008-11-18 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49507 |
Please comment or provide details below to improve the information on DR. STEVEN RENZE DE GROOT.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.