Grand Rapids Psychology, PLLC
NPI 1336712561ActiveOrganization· Psychologist, Clinical· Grand Rapids, MI
Psychologist, Clinical in Grand Rapids, Michigan, registered in NPPES in July 2021. The authorized official on file is Stacey Morgan, PSYD, Psychologist. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1336712561 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 24, 2021 |
| Last updated in NPPES | Jul 24, 2021 |
| Certified by provider | Jul 23, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MI) |
|---|
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