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

Q: What is Susan De Waard's NPI number?

The NPI number for Susan De Waard is 1215002811. It was assigned to this individual provider in the NPPES registry on November 21, 2006. The provider is also known as Mrs. Susan De Waard Bruggink M.A., LLP.

Q: What is Susan De Waard'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 Susan De Waard was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 November 21, 2006

201 SHELDON BLVD SE, GRAND RAPIDS, MI 49503(616) 459-4212(616) 774-9022 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mrs. Susan De Waard M.a., Llp NPPES

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

MRS. SUSAN DE WAARD M.A., LLP (NPI 1215002811) is an individual clinical provider in Grand Rapids, Michigan, licensed in Michigan (6301002554) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1215002811

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameMRS. SUSAN DE WAARDCredential: M.A., LLP

Location Address201 SHELDON BLVD SEGrand Rapids, MI 49503-4513

Mailing Address201 Sheldon Blvd SeGrand Rapids, MI 49503-4513 · (616) 459-4212 · Fax (616) 774-9022

Phone(616) 459-4212

Fax(616) 774-9022

Sole ProprietorYes

Enumeration DateNovember 21, 2006

Last NPPES UpdateSeptember 11, 2025

✔ NPI 1215002811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in MI · 6301002554

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.

Also ListedPsychologistTaxonomy 103T00000X · License 6301002554 (MI)

Also ListedPsychologist · Cognitive & BehavioralTaxonomy 103TB0200X · License 6301002554 (MI)

Also ListedSocial WorkerTaxonomy 104100000X

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 6301002554 (MI)

201 SHELDON BLVD SE, Grand Rapids, MI 49503

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Other Names 1

Professional Name (2)Mrs. Susan De Waard Bruggink M.a., Llp

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.

MS. ROBERTA J WALSH RN.,CNP

Registered Nurse (Psychiatric/Mental Health)