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WEDGWOOD CHRISTIAN SERVICES
NPI 1215047667
Community/Behavioral Health in Grand Rapids, MI

Active since August 30, 2006CLIA 23D2344618 · Waiver
3300 36TH ST SE, GRAND RAPIDS, MI 49512(616) 942-2110(616) 942-0589 Get Directions Write a Review

NPPES record last updated: November 2, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Wedgwood Christian Services NPPES

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

WEDGWOOD CHRISTIAN SERVICES (NPI 1215047667) is a healthcare organization registered as a community/behavioral health in Grand Rapids, Michigan and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through May 26, 2028 and lists Daniel T Gowdy, Ceo, as its authorized official.

NPPES Registry Identity

NPI1215047667
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameWEDGWOOD CHRISTIAN SERVICES
Location Address3300 36TH ST SEGrand Rapids, MI 49512-2810
Mailing Address3300 36th St SeGrand Rapids, MI 49512-2810 · (616) 942-2110 · Fax (616) 942-0589
Phone(616) 942-2110
Fax(616) 942-0589
Organization SubpartNo
Authorized OfficialDaniel T GowdyCeo · (616) 942-2110
Enumeration DateAugust 30, 2006
Last NPPES UpdateNovember 2, 2023
NPPES CertifiedNovember 2, 2023
✔ NPI 1215047667 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
3300 36TH ST SE, Grand Rapids, MI 49512
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Other Names 1

Doing Business AsWedgwood Christian Services

Other Identifiers 1

Medicaid1464983MI

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 ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D2344618

Wedgwood Christian Services · Grand Rapids, MI
Active · expires May 26, 2028
CLIA Number23D2344618
Laboratory TypeAssisted Living Facility
Certificate Effective DateMay 27, 2026
Certificate Expiration DateMay 26, 2028
Laboratory DirectorJoel Sanchez
Laboratory Phone(616) 965-3351
Laboratory LocationWedgwood Christian Services3290 36th Street SE, Grand Rapids, MI 49512
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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.

DR. KATHERINE E. KUNNEN DNP, FNP-C, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
3300 36TH ST SE
GRAND RAPIDS, MI 49512
Kent County (616) 942-2110
MEGAN ELINOR JOHNSON BCBA
Behavior Analyst
3300 36TH ST SE
GRAND RAPIDS, MI 49512
Kent County (616) 942-2810
MALINNA I MACK
Behavior Technician
3300 36TH ST SE
GRAND RAPIDS, MI 49512
Kent County (616) 942-2110
ALEIGHA DROUGHN
Behavior Analyst
3300 36TH ST SE
GRAND RAPIDS, MI 49512
Kent County (616) 942-2110
MATTHEW JOHN MANNIKKO
Behavior Technician
3300 36TH ST SE
GRAND RAPIDS, MI 49512
Kent County (616) 942-2110
CLARISSA LEE GREER
Behavior Technician
3300 36TH ST SE
GRAND RAPIDS, MI 49512
Kent County (616) 942-2110
MARGARET GRACE GILLICH
Behavior Technician
3300 36TH ST SE
GRAND RAPIDS, MI 49512
Kent County (616) 942-2110
CATHERINE ROSE KUIPERS RN
Student in an Organized Health Care Education/Training Program
3300 36TH ST SE
GRAND RAPIDS, MI 49512
Kent County (616) 942-2110

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 Wedgwood Christian Services's NPI number?

The NPI number for Wedgwood Christian Services is 1215047667. It was assigned to this organization in the NPPES registry on August 30, 2006.

Where is Wedgwood Christian Services located?

Wedgwood Christian Services is located at 3300 36th St SE, Grand Rapids, MI 49512. The listed phone number is (616) 942-2110.

What is Wedgwood Christian Services's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Does Wedgwood Christian Services hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2344618) is associated with this NPI, valid through May 26, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Wedgwood Christian Services accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Wedgwood Christian Services as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Wedgwood Christian Services was last updated on November 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.