GREGORY SCOT DEACON LLP NPI 1689740078

NPI Information

NPI: 1689740078
Provider Name: GREGORY SCOT DEACON, LLP
Classification: Psychologist - 103TB0200X
Entity Type: Individual

Specialization: Cognitive & Behavioral

Address:
201 SHELDON BLVD SE
GRAND RAPIDS, MI
ZIP 49503
Phone: (616) 459-4212
Get Directions

Gregory Scot Deacon, LLP is a cognitive and behavioral psychologist in Grand Rapids, MI. The provider is a psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking. Gregory Scot Deacon, LLP NPI is 1689740078. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

201 SHELDON BLVD SE
GRAND RAPIDS, MI
ZIP 49503-513
Phone: (616) 459-4212
Fax: (616) 774-9022

The enumeration date for this NPI number is 11/28/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103TB0200X	Psychologist	Cognitive & Behavioral	6301010405	MICHIGAN	Yes
2	103TC0700X	Psychologist	Clinical	6301010405	MICHIGAN	X
3	103TC1900X	Psychologist	Counseling	6301010405	MICHIGAN	X
4	104100000X	Social Worker		6301010405	MICHIGAN	X
5	1041C0700X	Social Worker	Clinical	6301010405	MICHIGAN	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0D16159	MEDICARE ID-TYPE UNSPECIFIED	MICHIGAN	TOUCHSTONE GROUP NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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