ANCHORED FAMILY PSYCHOLOGY AND COUNSELING ASSOCIATES (NPI# 1750948220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750948220 |
| Entity Type | Organization |
| Organization Name | ANCHORED FAMILY PSYCHOLOGY AND COUNSELING ASSOCIATES |
| Practice Address |
7086 8th Ave Jenison MI 49428-9352 |
| Mailing Address |
4570 Equestrian Dr Hudsonville MI 49426-7492 |
| Practice Telephone | 6166679551 |
| Mailing Telephone | 6163087722 |
| Enumeration Date | 2019-05-21 |
| Last Update Date | 2019-05-21 |
| Authorized Official Name | DR. ERIC J DYKSTRA (OWNER/LICENSED PSYCHOLOGIST) |
| Authorized Official Telephone | 6163087722 |
| Authorized Official Credential | PSY.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
Behavioral Health & Social Service Providers | ||
| N | 103TM1800X |
Psychologist Specialization: Mental Retardation & Developmental Disabilities |
Behavioral Health & Social Service Providers | ||
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Street Address |
7086 8TH AVE |
| City | JENISON |
| State | MI |
| Zip Code | 49428-9352 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780745422 | Eric J. Dykstra | Psychologist | 7086 8th Ave, Jenison, MI 49428-9352 | 2006-12-13 |
| 1457959264 | Madison Renee Valentine | Occupational Therapist | 7086 8th Ave, Jenison, MI 49428-9352 | 2020-10-14 |
| 1861046344 | Hannah Pettinga | Speech-Language Pathologist | 7086 8th Ave, Jenison, MI 49428-9352 | 2019-08-01 |
| 1952886434 | Emily Taylor Hoogstra | Occupational Therapist | 7086 8th Ave, Jenison, MI 49428-9352 | 2018-10-01 |
| 1861973976 | Caitlyn Dehaan | Speech-Language Pathologist | 7086 8th Ave, Jenison, MI 49428-9352 | 2018-08-27 |
| 1447730478 | Karli Marie Wiersma | Speech-Language Pathologist | 7086 8th Ave, Jenison, MI 49428-9352 | 2018-08-20 |
| 1407341548 | Sandy B Roelofs | Occupational Therapist | 7086 8th Ave, Jenison, MI 49428-9352 | 2018-06-29 |
| 1053824698 | Elisabeth Leigh Boot | Speech-Language Pathologist | 7086 8th Ave, Jenison, MI 49428-9352 | 2017-11-06 |
| 1083131940 | Kelly Marie Vandyke | Social Worker | 7086 8th Ave, Jenison, MI 49428-9352 | 2017-08-23 |
| 1770012833 | Brittany Lynn Deur | Speech-Language Pathologist | 7086 8th Ave, Jenison, MI 49428-9352 | 2017-06-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902355076 | Brian Jacob Wolters | Chiropractor | 7579 Main Street, Jenison, MI 49428 | 2016-09-29 |
| 1730530569 | Michael Walton | Counselor | 7678 Cottonwood Dr Ste C, Jenison, MI 49428 | 2016-06-22 |
| 1972950301 | Kyler Ross Debruyn | Student in an Organized Health Care Education/Training Program | 1932 Cedarbrook Drive, Jenison, MI 49428 | 2016-05-16 |
| 1932529799 | Patrick Christopher Schafer | Family Medicine | 345 Baldwin St, Jenison, MI 49428 | 2014-04-21 |
| 1548469216 | Sarah Anne Sainem Gordon | Counselor | 7506 Church Street, Jenison, MI 49428 | 2007-07-13 |
| 1265578900 | Stephen Mitchael Dadd | Dentist | 657 Baldwin St, Jenison, MI 49428 | 2007-01-29 |
| 1831277136 | Tyler Andrew Wolf | Dentist | 7678 Cottonwood Dr, Jenison, MI 49428 | 2006-11-02 |
| 1497840342 | Bruce A Seitz Dds PC | Dentist | 701 Baldwin, Jenison, MI 49428 | 2006-10-04 |
| 1134221260 | Aaron N Kik | Chiropractor | 7646 20th Ave, Jenison, MI 49428 | 2006-09-01 |
| 1700899135 | Mark Laman Powell | Dentist | 2076 Baldwin Dr, Jenison, MI 49428 | 2006-08-15 |
| Find all providers in zip 49428 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457305070 | James Ernest Metcalf | Psychologist | 2766 Baldwin St, Jenison, MI 49428-8701 | 2006-05-19 |
| 1790736247 | Marie Annette Mckay | Psychologist | 1836 Baldwin St, Jenison, MI 49428-8901 | 2006-05-12 |
| 1548635956 | Roza Forgach | Psychologist | 7086 8th Ave, Jenison, MI 49428-9352 | 2015-12-10 |
| 1164768065 | Nicholas Ruben Debernardi | Psychologist | 1836 Baldwin St, Jenison, MI 49428-8901 | 2012-12-20 |
| 1639432883 | Susan Jane Powers | Psychologist | 1836 Baldwin St, Jenison, MI 49428-8901 | 2012-06-22 |
| 1700149945 | Carol Z. Steel | Psychologist | 1836 Baldwin St, Jenison, MI 49428-8901 | 2012-06-22 |
| 1669740767 | Janette D Curtis | Psychologist | 1836 Baldwin St, Jenison, MI 49428-8901 | 2011-12-05 |
| 1275821654 | Hilary Stratton | Psychologist | 7086 8th Ave, Jenison, MI 49428-9352 | 2011-07-19 |
| 1295854263 | Tracy Lynn Kroeger | Psychologist | 7086 8th Ave, Jenison, MI 49428-9352 | 2007-03-28 |
| 1942327002 | David Laman | Psychologist | 7086 8th Ave, Jenison, MI 49428-9352 | 2007-03-23 |
| Find all providers in JENISON | ||||
Please comment or provide details below to improve the information on ANCHORED FAMILY PSYCHOLOGY AND COUNSELING ASSOCIATES.
| 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.