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DAN GAUTZ
NPI 1396140919
Psychologist - Intellectual and Developmental Disabilities in Grand Rapids, MI

Active since October 24, 2014
O-1859 LAKE MICHIGAN DR NW, GRAND RAPIDS, MI 49534(616) 677-5251 Get Directions Write a Review

NPPES record last updated: October 24, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dan Gautz NPPES

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

DAN GAUTZ (NPI 1396140919) is an individual intellectual and developmental disabilities provider in Grand Rapids, Michigan and active in the NPI registry since October 2014.

NPPES Registry Identity

NPI1396140919
Entity TypeIndividualMale
Primary Taxonomy103TM1800X
Provider Legal NameDAN GAUTZ
Location AddressO-1859 LAKE MICHIGAN DR NWGrand Rapids, MI 49534-9578
Mailing AddressO-1859 Lake Michigan Dr NwGrand Rapids, MI 49534-9578
Phone(616) 677-5251
Sole ProprietorNo
Enumeration DateOctober 24, 2014
✔ NPI 1396140919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Intellectual and Developmental DisabilitiesBehavioral Health & Social Service Providers
Taxonomy Code103TM1800X
O-1859 LAKE MICHIGAN DR NW, Grand Rapids, MI 49534
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Other Providers at the Same Location NPPES 6

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

QUINTON ZAMARRIPA
Psychologist (Intellectual and Developmental Disabilities)
O-1859 LAKE MICHIGAN DR NW
GRAND RAPIDS, MI 49534
Ottawa County (616) 677-5251
KAITLYN ZANDBERGEN
Psychologist (Intellectual and Developmental Disabilities)
O-1859 LAKE MICHIGAN DR NW
GRAND RAPIDS, MI 49534
Ottawa County (616) 677-5251
INDIAN TRAILS CAMP, INC.
Respite Care (Respite Care Camp)
O-1859 LAKE MICHIGAN DR NW
GRAND RAPIDS, MI 49534
Ottawa County (616) 677-5251
ANNE HILL
Psychologist (Intellectual and Developmental Disabilities)
O-1859 LAKE MICHIGAN DR NW
GRAND RAPIDS, MI 49534
Ottawa County (616) 677-5251
HEATHER HINES
Psychologist (Intellectual and Developmental Disabilities)
O-1859 LAKE MICHIGAN DR NW
GRAND RAPIDS, MI 49534
Ottawa County (616) 677-5251
MICHAEL FISCHER
Psychologist (Intellectual and Developmental Disabilities)
O-1859 LAKE MICHIGAN DR NW
GRAND RAPIDS, MI 49534
Ottawa County (616) 677-5251

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 Dan Gautz's NPI number?

The NPI number for Dan Gautz is 1396140919. It was assigned to this individual provider in the NPPES registry on October 24, 2014.

Where is Dan Gautz located?

Dan Gautz practices at O-1859 Lake Michigan Dr NW, Grand Rapids, MI 49534. The listed phone number is (616) 677-5251.

What is Dan Gautz's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Intellectual and Developmental Disabilities, with taxonomy code 103TM1800X.

When was this NPI record last updated?

The NPPES record for Dan Gautz was last updated on October 24, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.