MR. MICHAEL ALAN JANSEN PHD, LP
NPI 1154501062
Psychologist - Clinical Child & Adolescent in Holland, MI

NPI Status: Active since November 08, 2007

Contact Information

854 WASHINGTON AVE STE 330
HOLLAND, MI
ZIP 49423
Phone: (616) 355-3926
Fax: (616) 393-6651

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  • Individual
  • Male
  • Years of Experience 19
  • Psychologist
  • Clinical Child & Adolescent
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About MICHAEL JANSEN

This page provides the complete NPI Profile along with additional information for Michael Jansen, a provider established in Holland, Michigan with a medical specialization in Psychologist, focusing in clinical child & adolescent and more than 19 years of experience. The healthcare provider is registered in the NPI registry with number 1154501062 assigned on November 2007. The practitioner's primary taxonomy code is 103TC2200X with license number 6301013771 (MI). The provider is registered as an individual and his NPI record was last updated 12 years ago.

NPI
1154501062
Provider Name
MR. MICHAEL ALAN JANSEN PHD, LP
Gender
Male
Entity Type
Individual
Location Address
854 WASHINGTON AVE STE 330 HOLLAND, MI 49423
Location Phone
(616) 355-3926
Location Fax
(616) 393-6651
Mailing Address
854 WASHINGTON AVE STE 330 HOLLAND, MI 49423
Mailing Phone
(616) 355-3926
Mailing Fax
(616) 393-6651
Medical School Name
OTHER
Graduation Year
2007
Is Sole Proprietor?
No
Enumeration Date
11-08-2007
Last Update Date
03-14-2014
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychologist Clinical Child & Adolescent

Taxonomy Code
103TC2200X
Type
Behavioral Health & Social Service Providers
License No.
6301013771
License State
MI
Taxonomy Description
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1103T00000XBehavioral Health & Social Service Providers

Psychologist

6301013771 (MI)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Cross� Local HMO Bronze Extra - HMO
  • Blue Cross� Local HMO Bronze Secure - HMO
  • Blue Cross� Local HMO Silver Extra - HMO
  • Blue Cross� Local HMO Silver Saver - HMO
  • Blue Cross� Premier PPO Bronze Extra - PPO
  • Blue Cross� Premier PPO Bronze Saver HSA - PPO
  • Blue Cross� Premier PPO Bronze Secure - PPO
  • Blue Cross� Premier PPO Gold - PPO
  • Blue Cross� Premier PPO Gold Extra - PPO
  • Blue Cross� Premier PPO Silver - PPO
  • Blue Cross� Premier PPO Silver Extra - PPO
  • Blue Cross� Premier PPO Silver Saver HSA - PPO
  • Blue Cross� Premier PPO Value - PPO
  • Bronze Classic 4700 - EPO
  • Bronze Classic Standard - EPO
  • Bronze Elite + PCP Saver Plus - EPO
  • Gold Classic Standard - EPO
  • Gold Elite Saver Plus - EPO
  • Silver Classic - EPO
  • Silver Classic Standard - EPO
  • Silver Simple PCP Saver - EPO
  • MyPriority Balanced Silver - HMO
  • MyPriority Balanced Silver Bronson Healthcare Partners - HMO
  • MyPriority Balanced Silver Corewell Health West Michigan Network - HMO
  • MyPriority Balanced Silver Corewell Health West Michigan Network (Allegan, Barry) - HMO
  • MyPriority Balanced Silver Southeast Michigan Network - HMO
  • MyPriority Balanced Silver Trinity Health East Network - HMO
  • MyPriority Enhanced Gold Bronson Healthcare Partners - HMO
  • MyPriority Enhanced Gold Corewell Health West Michigan Network - HMO
  • MyPriority Enhanced Gold Corewell Health West Michigan Network (Allegan, Barry) - HMO
  • MyPriority Enhanced Gold Southeast Michigan Network - HMO
  • MyPriority Enhanced Gold Trinity Health East Network - HMO
  • MyPriority Premier Silver - HMO
  • MyPriority Premier Silver Bronson Healthcare Partners - HMO
  • MyPriority Premier Silver Corewell Health West Michigan Network - HMO
  • MyPriority Premier Silver Corewell Health West Michigan Network (Allegan, Barry) - HMO
  • MyPriority Premier Silver Trinity Health East Network - HMO
  • MyPriority Standard Bronze - HMO
  • MyPriority Standard Bronze - Bronson Healthcare Partners - HMO
  • MyPriority Standard Bronze - Corewell Health West Michigan Network - HMO
  • MyPriority Standard Bronze - Corewell Health West Michigan Network (Allegan, Barry) - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Michael Jansen is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Michael Jansen is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 1658453964

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20080125000208

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Reviews for MR. MICHAEL ALAN JANSEN PHD, LP

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1154501062, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 38. The final step is to find the difference between that total and the next multiple of ten (40 - 38 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
4
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
0
Unchanged
Pos 7
1
Doubled → 2
Pos 8
0
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 5 → 10 → 1 1 → 2 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 0 + 4 + 1 + 0 + 0 + 2 + 0 + 1 + 2 + 24 = 38

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 38 is 40. The difference is the calculated check digit.

40 - 38 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1154501062.

Other Providers at the Same Location


The following 17 providers are registered at the same or a nearby location.

Psychologist (Clinical)
854 WASHINGTON AVE STE 330
HOLLAND, MI 49423
Nurse Practitioner (Psychiatric/Mental Health)
854 WASHINGTON AVE STE 330
HOLLAND, MI 49423
Counselor (Professional)
854 WASHINGTON AVE STE 330
HOLLAND, MI 49423
Social Worker
854 WASHINGTON AVE STE 330
HOLLAND, MI 49423
Social Worker (Clinical)
854 WASHINGTON AVE STE 330
HOLLAND, MI 49423
Social Worker (Clinical)
854 WASHINGTON AVE STE 330
HOLLAND, MI 49423
Social Worker (Clinical)
854 WASHINGTON AVE STE 330
HOLLAND, MI 49423
Nurse Practitioner (Psychiatric/Mental Health)
854 WASHINGTON AVE STE 330
HOLLAND, MI 49423
Nurse Practitioner (Psychiatric/Mental Health)
854 WASHINGTON AVE STE 330
HOLLAND, MI 49423
Social Worker (Clinical)
854 WASHINGTON AVE STE 330
HOLLAND, MI 49423
Social Worker (Clinical)
854 WASHINGTON AVE STE 330
HOLLAND, MI 49423
Social Worker (Clinical)
854 WASHINGTON AVE STE 330
HOLLAND, MI 49423
Social Worker (Clinical)
854 WASHINGTON AVE STE 330
HOLLAND, MI 49423
Social Worker (Clinical)
854 WASHINGTON AVE STE 330
HOLLAND, MI 49423
Psychiatry & Neurology (Psychiatry)
854 WASHINGTON AVE STE 330
HOLLAND, MI 49423
Social Worker (Clinical)
854 WASHINGTON AVE STE 330
HOLLAND, MI 49423
Clinic/Center (Mental Health (Including Community Mental Health Center))
854 WASHINGTON AVE STE 330
HOLLAND, MI 49423

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154501062, enumerated as an "individual" on November 08, 2007.

The provider is located at 854 WASHINGTON AVE STE 330 HOLLAND, MI 49423 and the phone number is (616) 355-3926.

Psychologist with taxonomy code 103TC2200X and a focus in Clinical Child & Adolescent.

The provider might be accepting Accepts: Blue Care Network of Michigan, Blue Cross Blue. Please consult your insurance carrier or call the provider to verify.