HOPE NETWORK WEST MICHIGAN
NPI 1104204429
Psychologist in Grand Rapids, MI

Active since May 07, 2015CLIA 23D2202136 · Waiver
795 36TH ST SE, GRAND RAPIDS, MI 49548(616) 301-8000(616) 301-8010 Get Directions Write a Review

NPPES record last updated: May 7, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Hope Network West Michigan NPPES

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

HOPE NETWORK WEST MICHIGAN (NPI 1104204429) is a healthcare organization registered as a psychologist in Grand Rapids, Michigan and active in the NPI registry since May 2015. The organization holds a CLIA Waiver certificate valid through November 23, 2026 and lists Philip W Weaver, President, as its authorized official.

NPPES Registry Identity

NPI1104204429
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameHOPE NETWORK WEST MICHIGAN
Location Address795 36TH ST SEGrand Rapids, MI 49548-2319
Mailing AddressPo Box 890, 3075 Orchard VistaGrand Rapids, MI 49518-0890 · (616) 301-8000 · Fax (616) 301-8010
Fax(616) 301-8010
Organization SubpartNo
Authorized OfficialPhilip W WeaverPresident · (616) 301-8000
Enumeration DateMay 7, 2015
NPI 1104204429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Also ListedClinical NeuropsychologistTaxonomy 103G00000X
Also ListedBehavior AnalystTaxonomy 103K00000X
Also ListedSocial WorkerTaxonomy 104100000X
795 36TH ST SE, Grand Rapids, MI 49548

Other Identifiers 1

Medicare PIN0P46680MI

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D2202136

Hope Network · Grand Rapids, MI
Active · expires Nov 23, 2026
CLIA Number23D2202136
Laboratory TypeHope Network Education Ce
Certificate Effective DateNovember 24, 2024
Certificate Expiration DateNovember 23, 2026
Laboratory DirectorJeanne C. Talsma
Laboratory Phone(616) 430-9368
Laboratory LocationHope Network775 36th Street SE Building 3, Grand Rapids, MI 49548
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

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

Social Worker (Clinical)
795 36TH ST SE
GRAND RAPIDS, MI 49548
Occupational Therapist
795 36TH ST SE
GRAND RAPIDS, MI 49548
Registered Nurse
795 36TH ST SE
GRAND RAPIDS, MI 49548
Social Worker
795 36TH ST SE
GRAND RAPIDS, MI 49548
Registered Nurse
795 36TH ST SE
GRAND RAPIDS, MI 49548
Clinic/Center (Rehabilitation)
795 36TH ST SE
GRAND RAPIDS, MI 49548
Registered Nurse
795 36TH ST SE
WYOMING, MI 49548
Case Manager/Care Coordinator
795 36TH ST SE
GRAND RAPIDS, MI 49548

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hope Network West Michigan's NPI number?

The NPI number for Hope Network West Michigan is 1104204429. It was assigned to this organization in the NPPES registry on May 7, 2015.

Where is Hope Network West Michigan located?

Hope Network West Michigan is located at 795 36th St SE, Grand Rapids, MI 49548. The listed phone number is (616) 301-8000.

What is Hope Network West Michigan's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Does Hope Network West Michigan hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2202136) is associated with this NPI, valid through November 23, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Hope Network West Michigan was last updated on May 7, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.