TIMOTHY FRIESEN PSYD
NPI 1306806476
Psychologist - Clinical in Grand Rapids, MI

Q: What is Timothy Friesen's NPI number?

The NPI number for Timothy Friesen is 1306806476. It was assigned to this individual provider in the NPPES registry on March 24, 2006.

Q: What is Timothy Friesen'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 Timothy Friesen 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.

Active since March 24, 2006

3355 EAGLE PARK DR NE, STE 106, GRAND RAPIDS, MI 49525(616) 942-8060(616) 942-6690 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Timothy Friesen Psyd NPPES

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

TIMOTHY FRIESEN PSYD (NPI 1306806476) is an individual clinical provider in Grand Rapids, Michigan, licensed in Michigan (6301007967) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1306806476

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameTIMOTHY FRIESENCredential: PSYD

Location Address3355 EAGLE PARK DR NE, STE 106Grand Rapids, MI 49525

Mailing AddressPo Box 30516, Dept 6001aLansing, MI 48909-8016 · (616) 942-8060 · Fax (616) 942-6690

Phone(616) 942-8060

Fax(616) 942-6690

Sole ProprietorNo

Enumeration DateMarch 24, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1306806476 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 · 6301007967

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.

3355 EAGLE PARK DR NE, Grand Rapids, MI 49525

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Other Providers at the Same Location NPPES 18

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

KATHI RAE LOTTERMAN PA-C

Physician Assistant

3355 EAGLE PARK DR NE, SUITE 103
GRAND RAPIDS, MI 49525

Kent County (616) 942-7400

MARK F GILLETTE PA-C

Physician Assistant

3355 EAGLE PARK DR NE, SUITE 103
GRAND RAPIDS, MI 49525

Kent County (616) 942-7400

MS. MOLLY JO RAAYMAKERS L.L.P.

Psychologist

3355 EAGLE PARK DR NE, STE 107
GRAND RAPIDS, MI 49525

Kent County (616) 940-9870

MICHAEL W BORGELD MD

Internal Medicine

3355 EAGLE PARK DR NE, SUITE 103
GRAND RAPIDS, MI 49525

Kent County (616) 942-7400

MR. DAVID CHARLES SCHROEDER LMSW

Social Worker (Clinical)

3355 EAGLE PARK DR NE, STE 107
GRAND RAPIDS, MI 49525

Kent County (616) 666-9921

KIMBERLY K DECKER PA

Physician Assistant

3355 EAGLE PARK DR NE, SUITE 103
GRAND RAPIDS, MI 49525

Kent County (616) 942-7400

PROFESSIONAL PAIN MANAGEMENT PC

Pain Medicine (Pain Medicine)

3355 EAGLE PARK DR NE, SUITE 106
GRAND RAPIDS, MI 49525

Kent County (616) 808-3500

MS. NATALIE DAWN BEVERSLUIS B.S., M.ED., L.M.T.

Massage Therapist

3355 EAGLE PARK DR NE, 107
GRAND RAPIDS, MI 49525

Kent County (616) 617-3760

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 Timothy Friesen's NPI number?

The NPI number for Timothy Friesen is 1306806476. It was assigned to this individual provider in the NPPES registry on March 24, 2006.

Where is Timothy Friesen located?

Timothy Friesen practices at 3355 Eagle Park Dr NE Ste 106, Grand Rapids, MI 49525. The listed phone number is (616) 942-8060.

What is Timothy Friesen'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 Timothy Friesen 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.