THEODORE J JANSMA JR. PHD
NPI 1316924525
Psychologist - Clinical in Grand Rapids, MI

Q: What is Theodore Jansma's NPI number?

The NPI number for Theodore Jansma is 1316924525. It was assigned to this individual provider in the NPPES registry on December 29, 2005.

Q: What is Theodore Jansma'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 Theodore Jansma was last updated on June 26, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since December 29, 2005

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: July 26, 2026.

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About Theodore J Jansma Jr. Phd NPPES

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

THEODORE J JANSMA JR. PHD (NPI 1316924525) is an individual clinical provider in Grand Rapids, Michigan, licensed in Michigan (6301001233) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1316924525

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameTHEODORE J JANSMA JR.Credential: PHD

Location Address3330 CLAYSTONE ST SEGrand Rapids, MI 49546-7716

Mailing AddressPo Box 30516, Dept 6065Lansing, MI 48909-8016 · (616) 532-8000 · Fax (616) 532-7230

Phone(616) 942-8060

Fax(616) 942-6690

Sole ProprietorNo

Enumeration DateDecember 29, 2005

Last NPPES UpdateJune 26, 2008

✔ NPI 1316924525 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 · 6301001233

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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