1. Home
  2. Directory
  3. Michigan
  4. Clinton Township
  5. Clinical Neuropsychologist
  6. NPI Profile

DR. MICHAEL JAMES VREDEVOOGD PH.D.
NPI 1205985397
Clinical Neuropsychologist in Clinton Township, MI

Active since January 09, 2007
36385 HARPER AVE, CLINTON TOWNSHIP, MI 48035(586) 741-0295(586) 792-5190 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Michael James Vredevoogd Ph.d. NPPES

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

DR. MICHAEL JAMES VREDEVOOGD PH.D. (NPI 1205985397) is an individual clinical neuropsychologist in Clinton Township, Michigan, licensed in Michigan (63010006531) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1205985397
Entity TypeIndividualMale
Primary Taxonomy103G00000X
Provider Legal NameDR. MICHAEL JAMES VREDEVOOGDCredential: PH.D.
Location Address36385 HARPER AVEClinton Township, MI 48035-4635
Mailing Address50081 Sass RdChesterfield, MI 48047-1946 · (586) 530-7919 · Fax (586) 792-5190
Phone(586) 741-0295
Fax(586) 792-5190
Sole ProprietorYes
Enumeration DateJanuary 9, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1205985397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License✔ Licensed in MI · 63010006531
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.
36385 HARPER AVE, Clinton Township, MI 48035
Open in Google Maps ↗

Other Identifiers 2

Medicare ID-Type UnspecifiedN84270001MI
Other680EO1478MI · Blue Cross Blue Shield

Other Providers at the Same Location NPPES 4

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

MICHAEL VREDEVOOGD PC
Clinical Neuropsychologist
36385 HARPER AVE
CLINTON TOWNSHIP, MI 48035
Macomb County (586) 741-0295
DAVID ROBERT HICKLING DO
Neuromusculoskeletal Medicine & OMM
36385 HARPER AVE
CLINTON TWP, MI 48035
Macomb County (586) 684-1900
MICHIGAN MSK MEDICINE PLLC
Neuromusculoskeletal Medicine & OMM
36385 HARPER AVE
CLINTON TOWNSHIP, MI 48035
Macomb County (586) 684-1900
GEORGE IBRAHIM FAKHOURI DO
Family Medicine (Sports Medicine)
36385 HARPER AVE
CLINTON TWP, MI 48035
Macomb County (586) 684-1900

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Vredevoogd's NPI number?

The NPI number for Michael Vredevoogd is 1205985397. It was assigned to this individual provider in the NPPES registry on January 9, 2007.

Where is Michael Vredevoogd located?

Michael Vredevoogd practices at 36385 Harper Ave, Clinton Township, MI 48035. The listed phone number is (586) 741-0295.

What is Michael Vredevoogd's specialty?

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

When was this NPI record last updated?

The NPPES record for Michael Vredevoogd was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.