JESSE J PIEHL PHD
NPI 1184172496
Clinical Neuropsychologist in Grand Rapids, MI

Q: What is Jesse Piehl's NPI number?

The NPI number for Jesse Piehl is 1184172496. It was assigned to this individual provider in the NPPES registry on September 15, 2016.

Q: What is Jesse Piehl's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jesse Piehl was last updated on September 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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 September 15, 2016PECOS Enrolled

3292 N EVERGREEN DR NE, GRAND RAPIDS, MI 49525(616) 365-8920(616) 365-8971 Get Directions Write a Review

NPPES record last updated: September 23, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jesse J Piehl Phd NPPES

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

JESSE J PIEHL PHD (NPI 1184172496) is an individual clinical neuropsychologist in Grand Rapids, Michigan, licensed in Michigan (6301016429) and active in the NPI registry since September 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184172496

Entity TypeIndividualMale

Primary Taxonomy103G00000X

Provider Legal NameJESSE J PIEHLCredential: PHD

Location Address3292 N EVERGREEN DR NEGrand Rapids, MI 49525-9746

Mailing Address300 68th St SeGrand Rapids, MI 49548-6927 · (616) 455-5000

Phone(616) 365-8920

Fax(616) 365-8971

Sole ProprietorNo

Enumeration DateSeptember 15, 2016

Last NPPES UpdateSeptember 23, 2025

NPPES CertifiedSeptember 23, 2025

✔ NPI 1184172496 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 · 6301016429

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 6301016429 (MI)

3292 N EVERGREEN DR NE, Grand Rapids, MI 49525

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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, Priority Health 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 (PECOS)

Jesse J Piehl Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 20

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

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