JERRY BERNARD VANLEEUWEN PHD
NPI 1336340140
Psychologist in Grand Rapids, MI

Active since May 30, 2007PECOS EnrolledAccepts Medicare Assignment
6255 28TH ST SE STE M, GRAND RAPIDS, MI 49546(616) 458-5294(616) 458-5295 Get Directions Write a Review

NPPES record last updated: January 31, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jerry Bernard Vanleeuwen Phd NPPES

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

JERRY BERNARD VANLEEUWEN PHD (NPI 1336340140) is an individual psychologist in Grand Rapids, Michigan, licensed in Michigan (6301003978) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1971).

NPPES Registry Identity

NPI1336340140
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameJERRY BERNARD VANLEEUWENCredential: PHD
Location Address6255 28TH ST SE STE MGrand Rapids, MI 49546-6966
Mailing Address6255 28th St Se Ste MGrand Rapids, MI 49546-6966 · (616) 458-5294 · Fax (616) 458-5295
Fax(616) 458-5295
Sole ProprietorYes
Medical School CMSOtherGraduated 1971
Enumeration DateMay 30, 2007
Last NPPES UpdateJanuary 31, 2024
NPPES CertifiedJanuary 31, 2024
NPI 1336340140 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MI · 6301003978
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Also ListedPsychologist · CounselingTaxonomy 103TC1900X
Also ListedPsychologist · FamilyTaxonomy 103TF0000X · License 4101000398 (MI)
6255 28TH ST SE STE M, Grand Rapids, MI 49546

Other Names 1

Professional Name (2)Jerry B. Vanleeuwen Phd, Pc

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jerry Bernard Vanleeuwen Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8325135791
PECOS Enrollment IDI20240206002778
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

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

Psychologist (Cognitive & Behavioral)
6255 28TH ST SE STE M
GRAND RAPIDS, MI 49546

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 Jerry Vanleeuwen's NPI number?

The NPI number for Jerry Vanleeuwen is 1336340140. It was assigned to this individual provider in the NPPES registry on May 30, 2007. The provider is also known as Jerry B. Vanleeuwen Phd, PC.

Where is Jerry Vanleeuwen located?

Jerry Vanleeuwen practices at 6255 28th St SE Ste M, Grand Rapids, MI 49546. The listed phone number is (616) 458-5294.

What is Jerry Vanleeuwen's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Jerry Vanleeuwen enrolled in Medicare?

Yes. Jerry Vanleeuwen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jerry Vanleeuwen accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company, Priority Health and Providence Health Plan and 1 other insurer list Jerry Vanleeuwen 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 Jerry Vanleeuwen was last updated on January 31, 2024. 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.