ANDREA GUMBKO
NPI 1114447745
Psychologist in Grand Rapids, MI

Active since June 24, 2017
3403 MICHIGAN ST NE, GRAND RAPIDS, MI 49525(616) 350-8924 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Jun 24, 2017 (2 updates tracked since 2017).

About Andrea Gumbko NPPES

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

ANDREA GUMBKO (NPI 1114447745) is an individual psychologist in Grand Rapids, Michigan, licensed in Michigan (630100935) and active in the NPI registry since June 2017.

NPPES Registry Identity

NPI1114447745
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameANDREA GUMBKO
Location Address3403 MICHIGAN ST NEGrand Rapids, MI 49525-3408
Mailing Address3403 Michigan St NeGrand Rapids, MI 49525-3408 · (616) 350-8924
Sole ProprietorYes
Enumeration DateJune 24, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
NPI 1114447745 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MI · 630100935
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.
3403 MICHIGAN ST NE, Grand Rapids, MI 49525

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 Andrea Gumbko's NPI number?

The NPI number for Andrea Gumbko is 1114447745. It was assigned to this individual provider in the NPPES registry on June 24, 2017.

Where is Andrea Gumbko located?

Andrea Gumbko practices at 3403 Michigan St NE, Grand Rapids, MI 49525. The listed phone number is (616) 350-8924.

What is Andrea Gumbko's specialty?

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

When was this NPI record last updated?

The NPPES record for Andrea Gumbko was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.