DR. THOMAS ANTHONY DUDA PH.D., ABPP-CN
NPI 1043612286
Clinical Neuropsychologist in Grand Rapids, MI

Q: What is Thomas Duda's NPI number?

The NPI number for Thomas Duda is 1043612286. It was assigned to this individual provider in the NPPES registry on September 18, 2014.

Q: What is Thomas Duda's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Q: When was this NPI record last updated?

The NPPES record for Thomas Duda was last updated on October 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 18, 2014PECOS Enrolled

35 MICHIGAN ST NE STE 5201, GRAND RAPIDS, MI 49503(616) 267-2500 Get Directions Write a Review

NPPES record last updated: October 16, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 29, 2024, Sep 19, 2018 (2 updates tracked since 2018).

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About Dr. Thomas Anthony Duda Ph.d., Abpp-cn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. THOMAS ANTHONY DUDA PH.D., ABPP-CN (NPI 1043612286) is an individual clinical neuropsychologist in Grand Rapids, Michigan, licensed in Michigan (6301019312) and active in the NPI registry since September 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043612286

Entity TypeIndividualMale

Primary Taxonomy103G00000X

Provider Legal NameDR. THOMAS ANTHONY DUDACredential: PH.D., ABPP-CN

Location Address35 MICHIGAN ST NE STE 5201Grand Rapids, MI 49503-2530

Mailing Address100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560

Phone(616) 267-2500

Sole ProprietorNo

Enumeration DateSeptember 18, 2014

Last NPPES UpdateOctober 16, 20252 updates tracked since enumeration

NPPES CertifiedOctober 16, 2025

✔ NPI 1043612286 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers

Taxonomy Code103G00000X

License✔ Licensed in MI · 6301019312

Definition

A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 6301019312 (MI)

35 MICHIGAN ST NE STE 5201, Grand Rapids, MI 49503

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Thomas Anthony Duda Ph.d., Abpp-cn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. AMY E PUGH PSYD

Psychologist (Clinical Child & Adolescent)