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).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 6301014214 | MI | Behavioral Health & Social Service Providers |
| Street Address |
3333 36TH ST SE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49512-2809 |
| 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 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 49512 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| 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] |
| 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 | ||||
| City | GRAND RAPIDS |
| Zip Code | 49512 |
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| 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.