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MICHAEL VREDEVOOGD PC
NPI 1114108974
Clinical Neuropsychologist in Clinton Township, MI

Active since November 21, 2007
36385 HARPER AVE, CLINTON TOWNSHIP, MI 48035(586) 741-0295 Get Directions Write a Review

NPPES record last updated: November 21, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michael Vredevoogd Pc NPPES

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

MICHAEL VREDEVOOGD PC (NPI 1114108974) is a healthcare organization registered as a clinical neuropsychologist in Clinton Township, Michigan and active in the NPI registry since November 2007. The organization lists Michael James Vredevoogd, President, as its authorized official.

NPPES Registry Identity

NPI1114108974
Entity TypeOrganization
Primary Taxonomy103G00000X
Legal Business NameMICHAEL VREDEVOOGD PC
Location Address36385 HARPER AVEClinton Township, MI 48035-4635
Mailing Address36385 Harper AveClinton Township, MI 48035-4635 · (586) 741-0295
Phone(586) 741-0295
Organization SubpartNo
Authorized OfficialMichael James VredevoogdPresident · (586) 741-0295
Enumeration DateNovember 21, 2007
✔ NPI 1114108974 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 · 63010066531
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 ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X · License 63010066531 (MI)
36385 HARPER AVE, Clinton Township, MI 48035
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Other Identifiers 1

Medicare PINON84270MI

Other Providers at the Same Location NPPES 4

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

DR. MICHAEL JAMES VREDEVOOGD PH.D.
Clinical Neuropsychologist
36385 HARPER AVE
CLINTON TOWNSHIP, MI 48035
Macomb County (586) 741-0295
DAVID ROBERT HICKLING DO
Neuromusculoskeletal Medicine & OMM
36385 HARPER AVE
CLINTON TWP, MI 48035
Macomb County (586) 684-1900
MICHIGAN MSK MEDICINE PLLC
Neuromusculoskeletal Medicine & OMM
36385 HARPER AVE
CLINTON TOWNSHIP, MI 48035
Macomb County (586) 684-1900
GEORGE IBRAHIM FAKHOURI DO
Family Medicine (Sports Medicine)
36385 HARPER AVE
CLINTON TWP, MI 48035
Macomb County (586) 684-1900

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 Michael Vredevoogd PC's NPI number?

The NPI number for Michael Vredevoogd PC is 1114108974. It was assigned to this organization in the NPPES registry on November 21, 2007.

Where is Michael Vredevoogd PC located?

Michael Vredevoogd PC is located at 36385 Harper Ave, Clinton Township, MI 48035. The listed phone number is (586) 741-0295.

What is Michael Vredevoogd PC's specialty?

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

When was this NPI record last updated?

The NPPES record for Michael Vredevoogd PC was last updated on November 21, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.