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Jerry B Vanleeuwen PHD PC

NPI 1497943146ActiveOrganization· Psychologist, Cognitive & Behavioral· Grand Rapids, MI

Psychologist, Cognitive & Behavioral in Grand Rapids, Michigan, registered in NPPES in October 2007. The authorized official on file is Jerry B. Van Leeuwen, PHD, President. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1497943146
StatusActive
Entity typeOrganization
NPI issuedOct 9, 2007
Last updated in NPPESDec 4, 2023
Certified by providerDec 4, 2023

Specialties and licenses

TaxonomyCodeLicenseState
Psychologist, Cognitive & Behavioral Primary103TB0200X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (MI)

Medicare sources and data years

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