DR. GREGORY L FLENTJE M.D. PHD NPI 1669405163

NPI Information

NPI: 1669405163
Provider Name: DR. GREGORY L FLENTJE, M.D. PHD
Classification: Psychiatry & Neurology - 2084P0804X
Entity Type: Individual

Specialization: Child & Adolescent Psychiatry

Address:
1403 60TH ST SE
KENTWOOD, MI
ZIP 49508
Phone: (616) 719-4488
Get Directions

DR. Gregory L Flentje, M.D. PHD is a child and adolescent psychiatry psychiatry neurology in Kentwood, MI. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. DR. Gregory L Flentje, M.D. PHD NPI is 1669405163. 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:

1403 60TH ST SE
KENTWOOD, MI
ZIP 49508-065
Phone: (616) 719-4488
Fax: (616) 719-4480

The enumeration date for this NPI number is 7/8/2006 and was last updated on 6/24/2010.

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	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry	4301078568	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	380001205	OTHER	MICHIGAN	RAILROAD MEDICARE
2	0M42950005	MEDICARE PIN
3	260D110830	OTHER	MICHIGAN	BLUE CROSS AND BLUE SHIEL
4	H38772	MEDICARE UPIN	MICHIGAN
5	0M42950005	MEDICARE ID-TYPE UNSPECIFIED	MICHIGAN

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

NPI Synchronization or Removal

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