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MR. MICHAEL ALAN JANSEN PHD LP NPI 1154501062


NPI Information

NPI: 1154501062
Provider Name: MR. MICHAEL ALAN JANSEN, PHD, LP
Classification: Psychologist - 103TC2200X
Entity Type: Individual

Specialization: Clinical Child & Adolescent

PECOS Registration: Yes

Address:
854 WASHINGTON AVE STE 330
HOLLAND, MI
ZIP 49423
Phone: (616) 355-3926
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MR. Michael Alan Jansen, PHD, LP is a clinical child and adolescent psychologist in Holland, MI with 17 years of experience. The provider is a psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents. MR. Michael Alan Jansen, PHD, LP NPI is 1154501062. 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:

854 WASHINGTON AVE STE 330
HOLLAND, MI
ZIP 49423-141
Phone: (616) 355-3926
Fax: (616) 393-6651

The NPI 1154501062 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 11/8/2007 and was last updated on 3/14/2014.


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
1103T00000XPsychologist6301013771MICHIGANNo
2103TC2200XPsychologistClinical Child & Adolescent6301013771MICHIGANYes

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: 5/5/2024

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