Great Lakes Psychiatric Services, P.C.
LBN: Great Lakes Psychiatric Services, P.C.
Great Lakes Psychiatric Services, P.C. is an health care organization with primary practice located at 1179 E Paris Ave Se Suite 220, Grand Rapids MI 49546-8371. The organization recently has only one registered license in Ambulatory Health Care Facilities / Adult Mental Health, which is considered as the primary health care specialty.
Great Lakes Psychiatric Services, P.C. can be contacted via phone (616) 454-2004, or through Vander Velde, David Dirk via phone (616) 454-2004.
Contact Information
Primary practice address
1179 E Paris Ave Se Suite 220
Grand Rapids MI 49546-8371
Phone: (616) 454-2004
Fax: (616) 454-0061
Website:
Authorized official contact:
Name: Vander Velde, David Dirk Doctor of Osteopathy (DO)
Phone: (616) 454-2004
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Adult Mental Health | 261QM0850X | 5101009000 | Michigan |
Profile Details
| NPI number | 1275653115 |
|---|---|
| LBN Legal business name | Great Lakes Psychiatric Services, P.C. |
| DBA Doing business as | |
| Authorized official | Vander Velde, David Dirk Doctor of Osteopathy (DO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 31st, 2007 |
| Last updated | Aug 22nd, 2020 - about 5 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275653115 | NPPES |
| Michigan | Other | 26OD111150 | BLUE CROSS BLUE SHIELD |
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