MS. LAUREN ELIZABETH SPOON


Address: 3333 36th St Se, Grand Rapids, MI 49512-2809
Phone: 6169543540

MS. LAUREN ELIZABETH SPOON (NPI# 1861686784) 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) 1861686784
Entity Type Individual
Full Name MS. LAUREN ELIZABETH SPOON
Credential PSY.D.
Practice Address 3333 36th St Se
Grand Rapids
MI 49512-2809
Practice Telephone 6169543540
Practice Fax Number 6169543541
Mailing Telephone 6169543540
Mailing Fax Number 6169543541
Enumeration Date 2007-09-04
Last Update Date 2009-10-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103G00000X Clinical Neuropsychologist 6301014214 MI Behavioral Health & Social Service Providers

Office Location

Street Address 3333 36TH ST SE
City GRAND RAPIDS
State MI
Zip Code 49512-2809

Providers in the same location

NPI Name Taxonomy Address Enumeration
1942830963 Shelby Vanhouten Social Worker 3333 36th St Se, Grand Rapids, MI 49512-2809 2020-01-17
1730673468 Anna Derr Registered Nurse 3333 36th St Se, Grand Rapids, MI 49512-2809 2018-06-16
1700375615 Amanda Michelle Waidelich Counselor 3333 36th St Se, Grand Rapids, MI 49512-2809 2018-05-07
1154861433 Caroline Lynch Registered Nurse 3333 36th St Se, Grand Rapids, MI 49512-2809 2017-03-06
1396197802 Lauren Scott Social Worker 3333 36th St Se, Grand Rapids, MI 49512-2809 2016-07-08
1295180602 Ashley Crawford I Registered Nurse 3333 36th St Se, Grand Rapids, MI 49512-2809 2016-05-04
1841680436 Darla K Stutzman Registered Nurse 3333 36th St Se, Grand Rapids, MI 49512-2809 2015-02-03
1316353550 Megan Kimmerle Bowman Case Manager/Care Coordinator 3333 36th St Se, Grand Rapids, MI 49512-2809 2014-07-09
1417373481 Jennifer Price Counselor 3333 36th St Se, Grand Rapids, MI 49512-2809 2014-03-13
1497178644 Lisa Staple Registered Nurse 3333 36th St Se, Grand Rapids, MI 49512-2809 2014-01-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1649757071 St. Lukes Primary Care Family Medicine 5300 Patterson Ave Se Ste 1-d, Grand Rapids, MI 49512 2018-07-27
1013493733 Pharmascript of Michigan Gr LLC Pharmacy 2661 29th St. Se Suite A, Grand Rapids, MI 49512 2018-07-16
1245736040 Cassandra Slater Technician, Other 2925 Breton Rd Se, Grand Rapids, MI 49512 2018-04-02
1235632704 John Mitchell Tanja Occupational Therapist 3350 Broadmoor Avenue Se, Grand Rapids, MI 49512 2018-03-12
1952829855 Sarah Harlow Physical Therapist 2951 44th St Se, Kentwood, MI 49512 2017-08-31
1194248815 Melinda Huizenga Registered Nurse 5300 Patterson Ave Se Ste 125, Grand Rapids, MI 49512 2017-07-25
1659812931 Frantzie Pierre Counselor 3300 S Creek Dr Se Apt 201, Kentwood, MI 49512 2017-03-20
1104128602 Hope Network Behavioral Health Services Psychiatry & Neurology 3361 36th Street, Grand Rapids, MI 49512 2010-12-03
1518282631 Melanie Anne Hogeterp Social Worker 3180 East Paris Se, Kentwood, MI 49512 2010-03-31
1013147495 Ardean Beth Brock-vanderwall Counselor 2828 Kraft Ave., Grand Rapids, MI 49512 2009-07-20
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Taxonomy Information

Taxonomy Code 103G00000X
Grouping Behavioral Health & Social Service Providers
Classification Clinical Neuropsychologist

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
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
1619346285 Brianne Alyse Brooker Clinical Neuropsychologist 35 Michigan St Ne Ste 5201, Grand Rapids, MI 49503-2530 2015-09-24
Find all providers in GRAND RAPIDS

Competitor

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City GRAND RAPIDS
Zip Code 49512

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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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