J PATRICK DUIVEN PSYD PC
NPI 1124328265
Psychologist - Clinical in Grand Rapids, MI

Active since October 22, 2010
4133 EMBASSY DR SE, GRAND RAPIDS, MI 49546(616) 956-6700(616) 956-6773 Get Directions Write a Review

NPPES record last updated: October 22, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About J Patrick Duiven Psyd Pc NPPES

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

J PATRICK DUIVEN PSYD PC (NPI 1124328265) is a healthcare organization registered as a clinical in Grand Rapids, Michigan and active in the NPI registry since October 2010. The organization lists J Patrick Duiven, President/owner, as its authorized official.

NPPES Registry Identity

NPI1124328265
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameJ PATRICK DUIVEN PSYD PC
Location Address4133 EMBASSY DR SEGrand Rapids, MI 49546-2418
Mailing Address4133 Embassy Dr SeGrand Rapids, MI 49546-2418 · (616) 956-6700 · Fax (616) 956-6773
Fax(616) 956-6773
Organization SubpartNo
Authorized OfficialJ Patrick DuivenPresident/owner · (616) 956-6700
Enumeration DateOctober 22, 2010
NPI 1124328265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in MI · 6301002423
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
4133 EMBASSY DR SE, Grand Rapids, MI 49546

Other Identifiers 1

Medicare PINON11770MI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

Psychologist (Clinical)
4133 EMBASSY DR SE
GRAND RAPIDS, MI 49546
Clinic/Center (Adult Mental Health)
4133 EMBASSY DR SE
GRAND RAPIDS, MI 49546

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 J Patrick Duiven Psyd PC's NPI number?

The NPI number for J Patrick Duiven Psyd PC is 1124328265. It was assigned to this organization in the NPPES registry on October 22, 2010.

Where is J Patrick Duiven Psyd PC located?

J Patrick Duiven Psyd PC is located at 4133 Embassy Dr SE, Grand Rapids, MI 49546. The listed phone number is (616) 956-6700.

What is J Patrick Duiven Psyd PC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for J Patrick Duiven Psyd PC was last updated on October 22, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.