LUKE VANDER WAL


Address: 300 68th St Se, Grand Rapids, MI 49548-6927
Phone: 6164555000

LUKE VANDER WAL (NPI# 1467075176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1467075176
Entity Type Individual
Full Name LUKE VANDER WAL
Credential MA
Practice Address 300 68th St Se
Grand Rapids
MI 49548-6927
Practice Telephone 6164555000
Enumeration Date 2020-05-28
Last Update Date 2020-08-03
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist 6362008898 MI Behavioral Health & Social Service Providers

Office Location

Street Address 300 68TH ST SE
City GRAND RAPIDS
State MI
Zip Code 49548-6927

Providers in the same location

NPI Name Taxonomy Address Enumeration
1114920550 Emergency Physicians Inc PC General Practice 300 68th St Se, Grand Rapids, MI 49548-6927 2005-05-31
1235742768 Robert Milton Hughes Physician Assistant 300 68th St Se, Grand Rapids, MI 49548-6927 2020-08-25
1992317580 Jacob Alan Lowe Psychologist 300 68th St Se, Grand Rapids, MI 49548-6927 2020-08-17
1922619063 Jennifer Nicole Oconnor Social Worker 300 68th St Se, Grand Rapids, MI 49548-6927 2020-08-12
1407464670 Christina Joy Weaver Physician Assistant 300 68th St Se, Grand Rapids, MI 49548-6927 2020-07-14
1780200436 Wendy Forrest Psychiatry & Neurology 300 68th St Se, Grand Rapids, MI 49548-6927 2020-06-18
1003430877 Cory Manoogian Psychiatry & Neurology 300 68th St Se, Grand Rapids, MI 49548-6927 2020-06-08
1992329650 Amy Joy Smith Psychologist 300 68th St Se, Grand Rapids, MI 49548-6927 2020-05-29
1134743800 Brendan Mcneilly Psychiatry & Neurology 300 68th St Se, Grand Rapids, MI 49548-6927 2020-05-29
1245853274 Wesley Bos Psychiatry & Neurology 300 68th St Se, Grand Rapids, MI 49548-6927 2020-05-26
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205319811 Pooja Patel Social Worker Spectrum Community Services, 3353 Lousma Dr. Se, Wyoming, MI 49548 2018-09-10
1063906865 Kimberly Eccher Physician Assistant 300 68th St. Se, Grand Rapids, MI 49548 2018-06-15
1871099481 Baymark of Michigan, Inc. Clinic/Center 5500 Division Avenue Se, Kentwood, MI 49548 2018-04-03
1629507801 Laura Marie Quennoz Psychiatry & Neurology Pine Rest Christian Mental Health Services, 300 68th Street Se, Grand Rapids, MI 49548 2017-06-09
1821548504 Alison Anderson Technician, Other 103 Roth St Se, Grand Rapids, MI 49548 2016-10-06
1831540152 Jesse Aubil Counselor 264 Montebello St. Se 49548, Grand Rapids, MI 49548 2016-06-28
1306237920 Sarah Benton Social Worker 225 Colrain St Sw, 2, Grand Rapids, MI 49548 2015-02-18
1578996856 Karen Marie Irving Social Worker 3353 Lousma Dr. Se, Wyoming, MI 49548 2013-08-09
1740348044 Robert Kenneth Richmond Preventive Medicine 551 36th Street. Se, Wyoming, MI 49548 2006-12-05
1386738953 Sharita Montiez Hall Social Worker 300 68th Street Se, Grand Rapids, MI 49548 2006-10-03
Find all providers in zip 49548

Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Notes: Source: American Psychological Association [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1205490240 Maxwell Taylor Psychologist 401 Hall St Sw Ste 112b, Grand Rapids, MI 49503-4988 2019-04-25
1760995146 Stephanie Elizabeth Karek Psychologist 4467 Cascade Rd Se Ste A4469, Grand Rapids, MI 49546-3791 2017-11-08
1114447745 Andrea Gumbko Psychologist 3403 Michigan St Ne, Grand Rapids, MI 49525-3408 2017-06-24
1720529332 Clearwater Counseling & Wellness LLC Psychologist 1525 E Beltline Se, Grand Rapids, MI 49525-4598 2017-03-15
1851748768 Heather Dermyer, LLC Psychologist 3330 Centennial Rdg, #205, Grand Rapids, MI 49546-7098 2016-05-20
1902265234 Lauren Conkright Psychologist 1009 44th St Se, Suite 103, Grand Rapids, MI 49508 2016-02-15
1225409220 Christian Robert Komor Psychologist 235 Louis St Nw, Grand Rapids, MI 49503-2600 2015-10-15
1780022194 Gregory V Mallis Psychologist 1870 Leonard St Se, Grand Rapids, MI 49505-5650 2013-06-07
1821344136 Laura Ann Doughty Psychologist 800 Monroe Ave Nw Ste 206, Grand Rapids, MI 49503-1448 2012-07-24
1528321296 Mikhila N Wildey Psychologist 300 58th St Se, Grand Rapids, MI 49548-5984 2012-06-19
Find all providers in GRAND RAPIDS

Competitor

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City GRAND RAPIDS
Zip Code 49548

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Dataset Information

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.

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