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DR. DAVID ROBERT MACRAE PH.D. NPI 1942426929


NPI Information

NPI: 1942426929
Provider Name: DR. DAVID ROBERT MACRAE, PH.D.
Classification: Psychologist - 103T00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
2025 E BELTLINE AVE SE
SUITE #104
GRAND RAPIDS, MI
ZIP 49546
Phone: (616) 957-3168
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DR. David Robert Macrae, PH.D. is a psychologist in Grand Rapids, MI with 47 years of experience. The provider is 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. DR. David Robert Macrae, PH.D. NPI is 1942426929. 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:

2025 E BELTLINE AVE SE
SUITE #104
GRAND RAPIDS, MI
ZIP 49546-630
Phone: (616) 957-3168
Fax: (616) 957-4133

The NPI 1942426929 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 4/18/2007 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103T00000XPsychologist002310MICHIGANYes
2103TB0200XPsychologistCognitive & Behavioral002310MICHIGANX
3103TC0700XPsychologistClinical002310MICHIGANX
4103TC2200XPsychologistClinical Child & Adolescent002310MICHIGANX
5103TF0000XPsychologistFamily002310MICHIGANX
6106H00000XMarriage & Family Therapist002310MICHIGANX

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1OD14522MEDICARE ID-TYPE UNSPECIFIEDMICHIGANPSYCHOLOGIST

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.