MR. DAVID UITDEFLESCH MA LLP NPI 1962535856

NPI Information

  • NPI: 1962535856
  • Provider Name: MR. DAVID UITDEFLESCH, MA, LLP
  • Classification: Psychologist - 103TC0700X
  • Specialization: Clinical
  • Entity Type: Individual
  • Address: 2828 KRAFT AVE SE STE 186
    GRAND RAPIDS, MI
    ZIP 49512
  • Phone: (616) 949-9550

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NPI Details

MR. David Uitdeflesch, MA, LLP is a clinical psychologist in Grand Rapids, MI. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. MR. David Uitdeflesch, MA, LLP NPI is 1962535856. 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:

2828 KRAFT AVE SE STE 186
GRAND RAPIDS, MI
ZIP 49512-076
Phone: (616) 949-9550
Fax: (616) 949-9551

The enumeration date for this NPI number is 3/13/2007 and was last updated on 1/31/2025.

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
1101YA0400XCounselorAddiction (Substance Use Disorder)MICHIGANNo
2101YM0800XCounselorMental HealthMICHIGANNo
3103TC0700XPsychologistClinical6361001214MICHIGANYes

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: 11/21/2025

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