Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

STANGE CLINIC, PC
NPI 1205564531
Psychologist - Clinical in Grand Rapids, MI

Q: What is Stange Clinic, PC's NPI number?

The NPI number for Stange Clinic, PC is 1205564531. It was assigned to this organization in the NPPES registry on August 14, 2022. The provider is doing business as Ellie Mental Health.

Q: What is Stange Clinic, PC's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Stange Clinic, PC was last updated on July 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 37 days 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 August 14, 2022

2305 E PARIS AVE SE STE 203, GRAND RAPIDS, MI 49546(616) 816-1758(616) 333-7685 Get Directions Write a Review

NPPES record last updated: July 5, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 29, 2026, May 18, 2026, Apr 11, 2025 and 3 more (6 updates tracked since 2022).

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About Stange Clinic, Pc NPPES

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

STANGE CLINIC, PC (NPI 1205564531), doing business as Ellie Mental Health, is a healthcare organization registered as a clinical in Grand Rapids, Michigan and active in the NPI registry since August 2022. The organization maintains a secondary practice location in Grandville and lists Jennifer Lynn Bedford, Director, as its authorized official.

NPPES Registry Identity

NPI1205564531

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameSTANGE CLINIC, PC

Location Address2305 E PARIS AVE SE STE 203Grand Rapids, MI 49546-2426

Mailing Address7150 Armadale Ct NeBelmont, MI 49306-9690 · (586) 764-6671

Phone(616) 816-1758

Fax(616) 333-7685

Organization SubpartNo

Authorized OfficialJennifer Lynn BedfordDirector · (616) 951-1132

Enumeration DateAugust 14, 2022

Last NPPES UpdateJuly 5, 20266 updates tracked since enumeration

NPPES CertifiedJuly 5, 2026

✔ NPI 1205564531 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

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.

2305 E PARIS AVE SE STE 203, Grand Rapids, MI 49546

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Other Names 1

Doing Business AsEllie Mental Health

Secondary Practice Location 1

Location 14175 Parkway Place Dr SW Ste 100Grandville, MI 49418-2382 · Phone (616) 371-5166 · Fax (616) 333-7685

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.Insurance ›

Other Providers at the Same Location NPPES 8

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

BRYAN ROSS CREEGER

Counselor (Mental Health)