DR. MICHAEL PAUL WOLFF (NPI# 1528147360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528147360 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL PAUL WOLFF |
| Credential | PSYD |
| Practice Address |
3351 Eagle Run Dr Ne Suite C Grand Rapids MI 49525-7053 |
| Mailing Address |
7138 Lake Vista Dr Sw Apartment #2b Byron Center MI 49315-8547 |
| Practice Telephone | 6163658920 |
| Practice Fax Number | 6163658971 |
| Mailing Telephone | 6165830803 |
| Mailing Fax Number | 6163658971 |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 103G00000X | Clinical Neuropsychologist | 6301012443 | MI | Behavioral Health & Social Service Providers |
| X | 103TC0700X |
Psychologist Specialization: Clinical |
6301012443 | MI | Behavioral Health & Social Service Providers |
| X | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
6301012443 | MI | Behavioral Health & Social Service Providers |
| X | 103TF0000X |
Psychologist Specialization: Family |
6301012443 | MI | Behavioral Health & Social Service Providers |
| X | 103TM1800X |
Psychologist Specialization: Mental Retardation & Developmental Disabilities |
6301012443 | MI | Behavioral Health & Social Service Providers |
| X | 103TR0400X |
Psychologist Specialization: Rehabilitation |
6301012443 | MI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | CLINICAL NEUROPSYCHOLOGIS | 1528147360 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831511591 | Michael Cameron Wolff | Psychologist | 315 Moore Bldg, University Park, PA 16802-3103 | 2014-01-15 |
| 1265763403 | Michael Alan Wolff Jr. | Chiropractor | 6401 Hixson Pike, Suite D, Hixson, TN 37343 | 2010-01-28 |
| 1902975428 | Michael Richard Wolff | Urology | 841 Heather Rd, Burlington, NC 27215-6288 | 2006-11-07 |
| 1912086232 | Michael Alan Wolff | Chiropractor | 6401 Hixson Pike Ste D, Hixson, TN 37343-5725 | 2006-11-06 |
| 1861596025 | Michael John Wolff | Chiropractor | 4622 Mittlestedt Rd, Houston, TX 77069-2104 | 2006-09-11 |
| 1376508697 | Michael Warren Wolff | Physical Medicine & Rehabilitation | 9913 N 95th St, Scottsdale, AZ 85258-4586 | 2006-04-19 |
| 1326024050 | Michael Phillip Wolff | Nurse Anesthetist, Certified Registered | 1042 N Mountain Ave, Box 351, Upland, CA 91786-3695 | 2005-12-15 |
| 1003898115 | Michael John Wolff | Dentist | 369 Butler St, Pittsburgh, PA 15223-2124 | 2005-11-15 |
| 1174904593 | Michael Wolff | Internal Medicine | 1600 S Andrews Ave, Fort Lauderdale, FL 33316-2510 | 2015-06-11 |
| 1306055629 | Michael M Wolff | Chiropractor | 300 E 57th St, Suite 1d, New York, NY 10022-2928 | 2007-05-22 |
| Street Address |
3351 EAGLE RUN DR NE SUITE C |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49525-7053 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932154192 | Derek Anthony Lado | Physical Medicine & Rehabilitation | 3351 Eagle Run Dr Ne, Grand Rapids, MI 49525-7070 | 2006-05-24 |
| 1386998755 | Elite Spine and Musculoskeletal Center Pllc | Physical Medicine & Rehabilitation | 3351 Eagle Run Dr Ne, Grand Rapids, MI 49525-7070 | 2012-11-06 |
| 1982975843 | Danielle N Boog | Occupational Therapist | 3351 Eagle Run Dr Ne, Grand Rapids, MI 49525-7070 | 2012-01-24 |
| 1437436268 | Spectrum Health Primary Care Partners | Psychiatry & Neurology | 3351 Eagle Run Dr Ne, Grand Rapids, MI 49525-7070 | 2011-11-08 |
| 1659662138 | Aaron James Wilson | Social Worker | 3351 Eagle Run Dr Ne, Ste C, Grand Rapids, MI 49525-7070 | 2011-05-02 |
| 1447557111 | Kelly J Fairchild | Social Worker | 3351 Eagle Run Dr Ne, Ste C, Grand Rapids, MI 49525-7070 | 2011-02-16 |
| 1386948586 | Micheline Martha Lockerd | Social Worker | 3351 Eagle Run Dr Ne, Grand Rapids, MI 49525-7070 | 2011-01-03 |
| 1164756268 | Katharine Larsen Bennett | Psychologist | 3351 Eagle Run Dr Ne, Suite C, Grand Rapids, MI 49525-7070 | 2009-09-23 |
| 1861692782 | Bradley Taylor Bridges | Social Worker | 3351 Eagle Run Dr Ne, Grand Rapids, MI 49525-7070 | 2007-07-19 |
| 1114148046 | Branden Lyon | Social Worker | 3351 Eagle Run Dr Ne, Suite C, Grand Rapids, MI 49525-7070 | 2007-05-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053928507 | Therapy With Nicole Pllc | Community/Behavioral Health | 4867 E. Beltline Ave. Ne, Building #1 Lower Level, Grand Rapids, MI 49525 | 2020-09-29 |
| 1184242760 | Christian Healthcare Specialists, Inc. | Obstetrics & Gynecology | 3322 Beltline Court Ne, Suite 1, Grand Rapids, MI 49525 | 2020-07-09 |
| 1174154645 | Amy Vanderslik | Case Manager/Care Coordinator | 3310 Eaglecrest Park Dr. Ne, Suite 100, Grand Rapids, MI 49525 | 2020-02-03 |
| 1477195246 | Epic Discoveries LLC | Counselor | 4867 E. Beltline Ave Ne, Grand Rapids, MI 49525 | 2019-10-14 |
| 1598228959 | Kim Scherencel Lmsw Counseling | Social Worker | 3280 Beltline Ne, Grand Rapids, MI 49525 | 2019-04-11 |
| 1821558958 | Mindful Trajectories | Social Worker | 3280 Beltlne Ct Ne, Grand Rapids, MI 49525 | 2019-03-24 |
| 1104380518 | Julianne Lettinga, Ma Lpc Counseling | Counselor | 3280 East Beltline Ct Ne, Grand Rapids, MI 49525 | 2019-01-30 |
| 1396227229 | Christopher Scot Doucette | Social Worker | 2064 Airway St Ne, Grand Rapids, MI 49525 | 2018-09-06 |
| 1568976017 | Amy K. Deyoung, Dds, Ms, PC Pediatric Dentistry | Dentist | 3297 Eagle Run Dr. Ne, Grand Rapids, MI 49525 | 2017-11-20 |
| 1407389604 | Kelly Jo Crabb | Social Worker | 4829 E Beltline Ave Ne Ste 100, Grand Rapids, MI 49525 | 2017-04-05 |
| Find all providers in zip 49525 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841609369 | Crystal Young | Clinical Neuropsychologist | 1550 E Beltline Ave Se, Suite 340, Grand Rapids, MI 49506-4301 | 2014-08-08 |
| 1861686784 | Lauren Elizabeth Spoon | Clinical Neuropsychologist | 3333 36th St Se, Grand Rapids, MI 49512-2809 | 2007-09-04 |
| 1538287495 | James Bernard De Boe | Clinical Neuropsychologist | 4131 Embassy Dr Se, Grand Rapids, MI 49546-2418 | 2007-03-27 |
| 1891867495 | Cherry Street Services, Inc. | Clinical Neuropsychologist | 669 Stocking Ave Nw, Grand Rapids, MI 49504-5176 | 2006-11-15 |
| 1477663599 | Don Allen Boyd | Clinical Neuropsychologist | 3300 Burton St Se Ste B, Grand Rapids, MI 49546-4398 | 2006-08-30 |
| 1598705675 | Thomas Charles Fuller | Clinical Neuropsychologist | 161 Ottawa Nw, Ste 300c, Grand Rapids, MI 49503-2707 | 2006-06-07 |
| 1447738877 | Draycen Decator | Clinical Neuropsychologist | 3292 N Evergreen Dr Ne, Grand Rapids, MI 49525-9746 | 2018-07-28 |
| 1144717604 | Jaclyn Reckow | Clinical Neuropsychologist | 245 Cherry St Se Ste 104, Grand Rapids, MI 49503-4607 | 2018-04-19 |
| 1184172496 | Jesse J Piehl | Clinical Neuropsychologist | 3292 Evergreen Dr Ne, Grand Rapids, MI 49525-9580 | 2016-09-15 |
| 1144678020 | Alicia Beth Vanden Bussche Jantz | Clinical Neuropsychologist | 2750 E Beltline Ave Ne Fl 3, Grand Rapids, MI 49525-8614 | 2016-06-01 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49525 |
Please comment or provide details below to improve the information on DR. MICHAEL PAUL WOLFF.
| 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.