LARRY R TEITSMA (NPI# 1295707412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295707412 |
| Entity Type | Individual |
| Full Name | LARRY R TEITSMA |
| Credential | PHD |
| Practice Address |
3330 Claystone St Se Grand Rapids MI 49546-7716 |
| Mailing Address |
Po Box 30516 Lansing MI 48909-8016 |
| Practice Telephone | 6169428060 |
| Practice Fax Number | 6169426690 |
| Mailing Telephone | 6165328000 |
| Mailing Fax Number | 6165327230 |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2008-06-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
6301001766 | MI | Behavioral Health & Social Service Providers |
| Street Address |
3330 CLAYSTONE ST SE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49546-7716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760469027 | Barbara J Homrich | Psychologist | 3330 Claystone St Se, Grand Rapids, MI 49546-7716 | 2005-12-28 |
| 1316390396 | Bryan Bolea | Psychologist | 3330 Claystone St Se, Grand Rapids, MI 49546-7738 | 2016-07-14 |
| 1750740312 | Michael Wilkes | Counselor | 3330 Claystone St Se, Grand Rapids, MI 49546-7738 | 2016-02-11 |
| 1871847871 | Jay A. Miller | Psychologist | 3330 Claystone St Se, Grand Rapids, MI 49546-7716 | 2012-10-30 |
| 1437400637 | Amy Parks-williams | Social Worker | 3330 Claystone St Se, Grand Rapids, MI 49546-7716 | 2012-09-27 |
| 1881971695 | Karrie Dawn Pollens Slavin | Social Worker | 3330 Claystone St Se, Grand Rapids, MI 49546-7738 | 2011-11-08 |
| 1366697849 | Jesilee Bonofiglio | Social Worker | 3330 Claystone St Se, Grand Rapids, MI 49546-7716 | 2008-11-25 |
| 1871745463 | Margaret Lebo | Social Worker | 3330 Claystone St Se, Grand Rapids, MI 49546-7716 | 2008-10-15 |
| 1033126891 | Daniel L Snyder | Psychologist | 3330 Claystone St Se, Grand Rapids, MI 49546-5765 | 2006-08-02 |
| 1659343879 | Tariq Faridi | Psychiatry & Neurology | 3330 Claystone St Se, Grand Rapids, MI 49546-7716 | 2006-02-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437762986 | Amanda Mae Ostrom | Speech-Language Pathologist | 710 Kenmore Ave Se, #110, Grand Rapids, MI 49546 | 2020-08-25 |
| 1063075562 | Kelly Lynn Ibarra | Counselor | 4467 Cascade Road Se, Suite #4479, Grand Rapids, MI 49546 | 2019-04-19 |
| 1891257036 | Jessica Matthews LLC | Counselor | 4127 Embassy Drive Se, Grand Rapids, MI 49546 | 2019-04-05 |
| 1326518531 | Neah Morgan | Technician | 4220 Burton St Se, Grand Rapids, MI 49546 | 2018-11-29 |
| 1316430267 | Michael John Benskey | Case Manager/Care Coordinator | 4065 Saladin St Se, Grand Rapids, MI 49546 | 2018-06-14 |
| 1679062772 | Smile Cascade, P.C. | Clinic/Center | 4505 Cascade Rd Se # A, Grand Rapids, MI 49546 | 2018-05-03 |
| 1720583289 | Jeromy Krogman | Counselor | 826 Parchment Drive Se, Grand Rapids, MI 49546 | 2018-03-27 |
| 1841792660 | Affordable Hearing Clinic | Hearing Instrument Specialist | 833 Kenmoor Ave Se Ste G, Grand Rapids, MI 49546 | 2018-03-07 |
| 1689176133 | Kelly Pines | Physical Therapist | 625 Kenmoor Ave Suite 306, Grand Rapids, MI 49546 | 2018-03-01 |
| 1467971440 | Deanna Elizabeth Saenz | Social Worker | 2100 Raybrook St Se Ste 300, Grand Rapids, MI 49546 | 2017-09-12 |
| Find all providers in zip 49546 | ||||
| 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 | 49546 |
Please comment or provide details below to improve the information on LARRY R TEITSMA.
| 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.