JOSEPH MCLAUGHLAN PHD
NPI 1376923979
Clinical Neuropsychologist in Grand Rapids, MI

Active since June 09, 2015PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
275 MICHIGAN ST NE, GRAND RAPIDS, MI 49503(616) 267-7401(616) 267-7594 Get Directions Write a Review

NPPES record last updated: December 9, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 9, 2024, May 25, 2021 (2 updates tracked since 2021).

About Joseph Mclaughlan Phd NPPES

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

JOSEPH MCLAUGHLAN PHD (NPI 1376923979) is an individual clinical neuropsychologist in Grand Rapids, Michigan, licensed in Michigan (6301015714) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS, is affiliated with Spectrum Health, and maintains a secondary practice location in Grand Rapids.

NPPES Registry Identity

NPI1376923979
Entity TypeIndividualMale
Primary Taxonomy103G00000X
Provider Legal NameJOSEPH MCLAUGHLANCredential: PHD
Location Address275 MICHIGAN ST NEGrand Rapids, MI 49503-2531
Mailing Address100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560 · (616) 486-6790 · Fax (616) 486-6702
Fax(616) 267-7594
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJune 9, 2015
Last NPPES UpdateDecember 9, 20242 updates tracked since enumeration
NPPES CertifiedDecember 9, 2024
NPI 1376923979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License Licensed in MI · 6301015714
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
275 MICHIGAN ST NE, Grand Rapids, MI 49503

Secondary Practice Location 1

Location 12750 E Beltline Ave NEGrand Rapids, MI 49525-8614 · Phone (616) 267-7104 · Fax (616) 267-7594

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

Joseph Mclaughlan 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 ID3779896600
PECOS Enrollment IDI20150721000959
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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Evaluation of neuropsychological test, each additional hour 96133
This service involves further evaluation of your neuropsychological test results beyond the initial hour. It helps to understand your cognitive functioning better, focusing on areas like memory, attention, and problem-solving skills.
40 services21 patients
Exam of neurobehavioral status, first hour 96116
An exam of neurobehavioral status is a medical procedure that evaluates your brain's functions. This includes assessing your cognitive abilities, emotional responses, and behavioral patterns. The first hour of the exam is typically dedicated to this initial evaluation.
26 services25 patients
Evaluation of neuropsychological test, first hour 96132
An evaluation of neuropsychological tests is a process to assess your brain's function. It involves tasks designed to measure cognitive abilities such as memory, attention, problem-solving, and language skills. The first hour involves initial testing and observation.
22 services22 patients
Exam of neurobehavioral status, first hour 96116
An exam of neurobehavioral status is a medical procedure that evaluates your brain's functions. This includes assessing your cognitive abilities, emotional responses, and behavioral patterns. The first hour of the exam is typically dedicated to this initial evaluation.
19 services19 patients
Administration of psychological or neuropsychological test, first 30 minutes 96136
This procedure involves a health professional conducting a psychological or neuropsychological test. The first 30 minutes typically involve understanding your mental health or brain function through various assessments. This helps in diagnosing and treating mental health disorders effectively.
12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Spectrum Health

Acute Care Hospitals · Grand Rapids, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230038
Location100 Michigan St NEGrand Rapids, MI 49503 · Kent County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.54
Promoting Interoperability100
Improvement Activities40

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.

Pediatrics
275 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Physician Assistant
275 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Pediatrics
275 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Pediatrics
275 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Physician Assistant
275 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Clinical Neuropsychologist
275 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Nurse Practitioner
275 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Nurse Practitioner (Gerontology)
275 MICHIGAN ST NE
GRAND RAPIDS, MI 49503

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 Joseph Mclaughlan's NPI number?

The NPI number for Joseph Mclaughlan is 1376923979. It was assigned to this individual provider in the NPPES registry on June 9, 2015.

Where is Joseph Mclaughlan located?

Joseph Mclaughlan practices at 275 Michigan St NE, Grand Rapids, MI 49503. The listed phone number is (616) 267-7401.

What is Joseph Mclaughlan's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Joseph Mclaughlan enrolled in Medicare?

Yes. Joseph Mclaughlan 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 Joseph Mclaughlan accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community, Priority Health and Providence Health Plan list Joseph Mclaughlan 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.

Is Joseph Mclaughlan affiliated with any hospitals?

According to CMS data, Joseph Mclaughlan is affiliated with Spectrum Health.

When was this NPI record last updated?

The NPPES record for Joseph Mclaughlan was last updated on December 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.