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LARRY R TEITSMA PHD
NPI 1295707412
Psychologist - Clinical in Grand Rapids, MI

Active since February 02, 2006
3330 CLAYSTONE ST SE, GRAND RAPIDS, MI 49546(616) 942-8060(616) 942-6690 Get Directions Write a Review

NPPES record last updated: June 26, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Larry R Teitsma Phd NPPES

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

LARRY R TEITSMA PHD (NPI 1295707412) is an individual clinical provider in Grand Rapids, Michigan, licensed in Michigan (6301001766) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1295707412
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameLARRY R TEITSMACredential: PHD
Location Address3330 CLAYSTONE ST SEGrand Rapids, MI 49546-7716
Mailing AddressPo Box 30516Lansing, MI 48909-8016 · (616) 532-8000 · Fax (616) 532-7230
Phone(616) 942-8060
Fax(616) 942-6690
Sole ProprietorNo
Enumeration DateFebruary 2, 2006
Last NPPES UpdateJune 26, 2008
✔ NPI 1295707412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in MI · 6301001766
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.
3330 CLAYSTONE ST SE, Grand Rapids, MI 49546
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Other Identifiers 1

Medicare ID-Type Unspecified0P28140008MI

Other Providers at the Same Location NPPES 17

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

DANIEL L SNYDER PH.D.
Psychologist (Addiction (Substance Use Disorder))
3330 CLAYSTONE ST SE
GRAND RAPIDS, MI 49546
Kent County (616) 949-7460
THEODORE J JANSMA JR. PHD
Psychologist (Clinical)
3330 CLAYSTONE ST SE
GRAND RAPIDS, MI 49546
Kent County (616) 942-8060
M KAY HANNAH PHD LLP
Psychologist (Clinical)
3330 CLAYSTONE ST SE
GRAND RAPIDS, MI 49546
Kent County (616) 942-8060
CAROLE CHISHOLM LMSW CSW
Social Worker (Clinical)
3330 CLAYSTONE ST SE
GRAND RAPIDS, MI 49546
Kent County (616) 942-8060
PATRICK J HANDLIN PA
Physician Assistant
3330 CLAYSTONE ST SE
GRAND RAPIDS, MI 49546
Kent County (616) 942-8060
JESILEE BONOFIGLIO MSW
Social Worker
3330 CLAYSTONE ST SE
GRAND RAPIDS, MI 49546
Kent County (800) 968-6866
ROBERT W KOPFENSTEINER JR. LMSW
Social Worker (Clinical)
3330 CLAYSTONE ST SE
GRAND RAPIDS, MI 49546
Kent County (616) 942-8060
JUDITH A VANDERWAL PHD LLP
Psychologist (Clinical)
3330 CLAYSTONE ST SE
GRAND RAPIDS, MI 49546
Kent County (616) 942-8060

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 Larry Teitsma's NPI number?

The NPI number for Larry Teitsma is 1295707412. It was assigned to this individual provider in the NPPES registry on February 2, 2006.

Where is Larry Teitsma located?

Larry Teitsma practices at 3330 Claystone St SE, Grand Rapids, MI 49546. The listed phone number is (616) 942-8060.

What is Larry Teitsma's specialty?

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

When was this NPI record last updated?

The NPPES record for Larry Teitsma was last updated on June 26, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.