MRS. SUSAN DE WAARD M.A., LLP
NPI 1215002811
Psychologist - Clinical in Grand Rapids, MI

NPI Status: Active since November 21, 2006

Contact Information

201 SHELDON BLVD SE
GRAND RAPIDS, MI
ZIP 49503
Phone: (616) 459-4212
Fax: (616) 774-9022

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  • Individual
  • Female
  • Psychologist
  • Clinical

About SUSAN DE WAARD

This page provides the complete NPI Profile along with additional information for Susan De Waard, a provider established in Grand Rapids, Michigan with a medical specialization in Psychologist, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1215002811 assigned on November 2006. The practitioner's primary taxonomy code is 103TC0700X with license number 6301002554 (MI). The provider is registered as an individual and her NPI record was last updated one year ago.

NPI
1215002811
Provider Name
MRS. SUSAN DE WAARD M.A., LLP
Other Name
MRS. SUSAN DE WAARD BRUGGINK M.A., LLP
Other Name Type
Professional Name (2)
Gender
Female
Entity Type
Individual
Location Address
201 SHELDON BLVD SE GRAND RAPIDS, MI 49503
Location Phone
(616) 459-4212
Location Fax
(616) 774-9022
Mailing Address
201 SHELDON BLVD SE GRAND RAPIDS, MI 49503
Mailing Phone
(616) 459-4212
Mailing Fax
(616) 774-9022
Is Sole Proprietor?
Yes
Enumeration Date
11-21-2006
Last Update Date
09-11-2025
Code Navigator

A clinical psychologist like Susan De Waard assesses, diagnoses, and treats mental, emotional, and behavioral disorders. Clinical psychologists help people deal with problems ranging from short-term personal issues to severe, chronic conditions. Clinical psychologists interview patients, give diagnostic tests, provide psychotherapy and design behavior modification programs to help patients.

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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

Taxonomy Code
103TC0700X
Type
Behavioral Health & Social Service Providers
License No.
6301002554
License State
MI
Taxonomy Description
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.

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

6301002554 (MI)
2103TB0200XBehavioral Health & Social Service Providers

Psychologist
Cognitive & Behavioral

6301002554 (MI)
3104100000XBehavioral Health & Social Service Providers

Social Worker

(MI)
41041C0700XBehavioral Health & Social Service Providers

Social Worker
Clinical

6301002554 (MI)

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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 1215002811, we treat the final digit (1) 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 49. The final step is to find the difference between that total and the next multiple of ten (50 - 49 = 1).

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
2
Unchanged
Pos 3
1
Doubled → 2
Pos 4
5
Unchanged
Pos 5
0
Doubled → 0
Pos 6
0
Unchanged
Pos 7
2
Doubled → 4
Pos 8
8
Unchanged
Pos 9
1
Doubled → 2
Check
1
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 1 → 2 0 → 0 2 → 4 1 → 2

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 2 + 5 + 0 + 0 + 4 + 8 + 2 + 24 = 49

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

The next multiple of ten after 49 is 50. The difference is the calculated check digit.

50 - 49 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1215002811.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Social Worker
201 SHELDON BLVD SE
GRAND RAPIDS, MI 49503
Social Worker
201 SHELDON BLVD SE
GRAND RAPIDS, MI 49503
Counselor
201 SHELDON BLVD SE
GRAND RAPIDS, MI 49503
Social Worker (Clinical)
201 SHELDON BLVD SE
GRAND RAPIDS, MI 49503
Social Worker (Clinical)
201 SHELDON BLVD SE
GRAND RAPIDS, MI 49503
Social Worker (Clinical)
201 SHELDON BLVD SE
GRAND RAPIDS, MI 49503
Case Management
201 SHELDON BLVD SE
GRAND RAPIDS, MI 49503
Social Worker (Clinical)
201 SHELDON BLVD SE
GRAND RAPIDS, MI 49503
Social Worker
201 SHELDON BLVD SE
GRAND RAPIDS, MI 49503
Social Worker
201 SHELDON BLVD SE
GRAND RAPIDS, MI 49503
Social Worker (Clinical)
201 SHELDON BLVD SE
GRAND RAPIDS, MI 49503
Social Worker (Clinical)
201 SHELDON BLVD SE
GRAND RAPIDS, MI 49503
Social Worker (Clinical)
201 SHELDON BLVD SE
GRAND RAPIDS, MI 49503
Social Worker (Clinical)
201 SHELDON BLVD SE
GRAND RAPIDS, MI 49503
Social Worker (Clinical)
201 SHELDON BLVD SE
GRAND RAPIDS, MI 49503
Counselor
201 SHELDON BLVD SE
GRAND RAPIDS, MI 49503
Social Worker (Clinical)
201 SHELDON BLVD SE
GRAND RAPIDS, MI 49503
Social Worker (Clinical)
201 SHELDON BLVD SE
GRAND RAPIDS, MI 49503
Social Worker (Clinical)
201 SHELDON BLVD SE
GRAND RAPIDS, MI 49503
Registered Nurse (Psychiatric/Mental Health)
201 SHELDON BLVD SE
GRAND RAPIDS, MI 49503

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215002811, enumerated as an "individual" on November 21, 2006.

The provider is located at 201 SHELDON BLVD SE GRAND RAPIDS, MI 49503 and the phone number is (616) 459-4212.

Psychologist with taxonomy code 103TC0700X and a focus in Clinical.