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

Q: What is Michael Jansen's NPI number?

The NPI number for Michael Jansen is 1154501062. It was assigned to this individual provider in the NPPES registry on November 8, 2007.

Q: What is Michael Jansen's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Q: When was this NPI record last updated?

The NPPES record for Michael Jansen was last updated on March 14, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since November 08, 2007PECOS EnrolledAccepts Medicare Assignment

854 WASHINGTON AVE STE 330, HOLLAND, MI 49423(616) 355-3926(616) 393-6651 Get Directions Write a Review

NPPES record last updated: March 14, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mr. Michael Alan Jansen Phd, Lp NPPES

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

MR. MICHAEL ALAN JANSEN PHD, LP (NPI 1154501062) is an individual clinical child & adolescent provider in Holland, Michigan, licensed in Michigan (6301013771) and active in the NPI registry since November 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1154501062

Entity TypeIndividualMale

Primary Taxonomy103TC2200X

Provider Legal NameMR. MICHAEL ALAN JANSENCredential: PHD, LP

Location Address854 WASHINGTON AVE STE 330Holland, MI 49423-7141

Mailing Address854 Washington Ave Ste 330Holland, MI 49423-7141 · (616) 355-3926 · Fax (616) 393-6651

Phone(616) 355-3926

Fax(616) 393-6651

Sole ProprietorNo

Medical School CMSOtherGraduated 2007

Enumeration DateNovember 8, 2007

Last NPPES UpdateMarch 14, 2014

✔ NPI 1154501062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers

Taxonomy Code103TC2200X

License✔ Licensed in MI · 6301013771

Definition

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.

Also ListedPsychologistTaxonomy 103T00000X · License 6301013771 (MI)

854 WASHINGTON AVE STE 330, Holland, MI 49423

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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, Oscar Insurance Company 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

Mr. Michael Alan Jansen Phd, Lp 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 ID1658453964

PECOS Enrollment IDI20080125000208

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.

Other Providers at the Same Location NPPES 19

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

MEAGAN MAAS MD, MPH

Psychiatry & Neurology (Psychiatry)