NPI Details
SPECTRUM HEALTH PRIMARY CARE PARTNERS is a psychologist in Grand Rapids, MI. 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. SPECTRUM HEALTH PRIMARY CARE PARTNERS NPI is 1518285022. The provider is registered as an organization entity type and is a multi-specialty group.
The provider's business location address is:
426 MICHIGAN ST NE
SUITE 102
GRAND RAPIDS, MI
ZIP 49503-609
Phone: (616) 391-2242
The provider's authorized official is Pauline M Krywanski .
The authorized official title is Svp, Finance and has the following contact phone number (616) 486-2253.
The enumeration date for this NPI number is 5/7/2010 and was last updated on 9/10/2013.
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 | 103TA0700X | Psychologist | Adult Development & Aging | | | No |
| 2 | 103TB0200X | Psychologist | Cognitive & Behavioral | | | No |
| 3 | 103TC0700X | Psychologist | Clinical | | | No |
| 4 | 103TC2200X | Psychologist | Clinical Child & Adolescent | | | No |
| 5 | 103TC1900X | Psychologist | Counseling | | | No |
| 6 | 103T00000X | Psychologist | | | MICHIGAN | Yes |
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 | 0M74460 | MEDICARE PIN | | |
