ALICIA BETH VANDEN BUSSCHE JANTZ PHD
NPI 1144678020
Clinical Neuropsychologist in Grand Rapids, MI

Q: What is Alicia Vanden Bussche Jantz's NPI number?

The NPI number for Alicia Vanden Bussche Jantz is 1144678020. It was assigned to this individual provider in the NPPES registry on June 1, 2016. The provider is also known as Alicia Vanden Bussche Phd.

Q: What is Alicia Vanden Bussche Jantz's specialty?

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

Active since June 01, 2016PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

275 MICHIGAN ST NE, GRAND RAPIDS, MI 49503(616) 267-7401(616) 267-7594 Get Directions Write a Review

NPPES record last updated: December 9, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 9, 2024, Feb 16, 2021, Oct 5, 2020 and 1 more (4 updates tracked since 2020).

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About Alicia Beth Vanden Bussche Jantz Phd NPPES

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

ALICIA BETH VANDEN BUSSCHE JANTZ PHD (NPI 1144678020) is an individual clinical neuropsychologist in Grand Rapids, Michigan, licensed in Michigan (6301018407) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS, is affiliated with Spectrum Health, and maintains a secondary practice location in Grand Rapids.

NPPES Registry Identity

NPI1144678020

Entity TypeIndividualFemale

Primary Taxonomy103G00000X

Provider Legal NameALICIA BETH VANDEN BUSSCHE JANTZCredential: PHD

Location Address275 MICHIGAN ST NEGrand Rapids, MI 49503-2531

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

Phone(616) 267-7401

Fax(616) 267-7594

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateJune 1, 2016

Last NPPES UpdateDecember 9, 20244 updates tracked since enumeration

NPPES CertifiedDecember 9, 2024

✔ NPI 1144678020 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 · 6301018407

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 6301018407 (MI)

275 MICHIGAN ST NE, Grand Rapids, MI 49503

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Other Names 1

Former Name (1)Alicia Vanden Bussche Phd

Secondary Practice Location 1

Location 12750 E Beltline Ave NE Fl 3Grand Rapids, MI 49525-8614 · Phone (616) 267-7104

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 and accepts Medicare assignment

Alicia Beth Vanden Bussche Jantz Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5698194819

PECOS Enrollment IDI20201007001282

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Exam of neurobehavioral status, first hour 96116

An exam of neurobehavioral status is a medical procedure that evaluates your brain's functions. This includes assessing your cognitive abilities, emotional responses, and behavioral patterns. The first hour of the exam is typically dedicated to this initial evaluation.

49 services35 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Spectrum Health

Acute Care Hospitals · Grand Rapids, MI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230038

Location100 Michigan St NEGrand Rapids, MI 49503 · Kent County

Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

87.54

Promoting Interoperability

100

Improvement Activities

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.

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