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DENISE RADAKOVITZ MA, LLP
NPI 1417461104
Psychologist - Cognitive & Behavioral in Holland, MI

Active since November 17, 2017
12265 JAMES ST, HOLLAND, MI 49424(616) 392-1873 Get Directions Write a Review

NPPES record last updated: November 17, 2017. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Denise Radakovitz Ma, Llp NPPES

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

DENISE RADAKOVITZ MA, LLP (NPI 1417461104) is an individual cognitive & behavioral provider in Holland, Michigan, licensed in Michigan (6301010334) and active in the NPI registry since November 2017. She is a graduate of Other (1997).

NPPES Registry Identity

NPI1417461104
Entity TypeIndividualFemale
Primary Taxonomy103TB0200X
Provider Legal NameDENISE RADAKOVITZCredential: MA, LLP
Location Address12265 JAMES STHolland, MI 49424-8613
Mailing Address12265 James StHolland, MI 49424-8613 · (616) 392-1873
Phone(616) 392-1873
Sole ProprietorYes
Medical School CMSOtherGraduated 1997
Enumeration DateNovember 17, 2017
✔ NPI 1417461104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Cognitive & BehavioralBehavioral Health & Social Service Providers
Taxonomy Code103TB0200X
License✔ Licensed in MI · 6301010334
Definition
A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking.
12265 JAMES ST, Holland, MI 49424
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Denise Radakovitz Ma, Llp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7113422759
PECOS Enrollment IDI20250925000187

Medicare Billing Reassignment

Medicare enrollment records show Denise Radakovitz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

County Of Ottawa
Same address
Mental Health (Including Community Mental Health Center)
12265 JAMES ST
Holland, MI 49424
  • Reassigned Medicare billing, Michigan enrollment
  • 28 clinicians in this Medicare group
NPI 1619932381 (616) 393-5600

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

SHERYL ANN MASCORRO RN
Registered Nurse (Psychiatric/Mental Health, Child & Adolescent)
12265 JAMES ST
HOLLAND, MI 49424
Ottawa County (616) 494-5698
RHONDA MARIE RUTAN LLMSW
Social Worker (Clinical)
12265 JAMES ST
HOLLAND, MI 49424
Ottawa County (616) 494-5698
MS. KATHLEEN D. SMITH PSYCHOLOGIST LLP
Psychologist (Intellectual and Developmental Disabilities)
12265 JAMES ST
HOLLAND, MI 49424
Ottawa County (616) 494-5698
MADISYN DEHORN
Social Worker (Clinical)
12265 JAMES ST
HOLLAND, MI 49424
Ottawa County (616) 392-1873
ALEXZANDRIA MCCRUM
Social Worker (Clinical)
12265 JAMES ST
HOLLAND, MI 49424
Ottawa County (616) 392-1873
CHERYL SCHUT LBSW
Case Manager/Care Coordinator
12265 JAMES ST
HOLLAND, MI 49424
Ottawa County (616) 494-5698
SELENA WALTERS
Case Manager/Care Coordinator
12265 JAMES ST
HOLLAND, MI 49424
Ottawa County (616) 392-1873
CHRISTINE A WILSON RN
Registered Nurse (Psychiatric/Mental Health, Child & Adolescent)
12265 JAMES ST
HOLLAND, MI 49424
Ottawa County (616) 494-5698

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 Denise Radakovitz's NPI number?

The NPI number for Denise Radakovitz is 1417461104. It was assigned to this individual provider in the NPPES registry on November 17, 2017.

Where is Denise Radakovitz located?

Denise Radakovitz practices at 12265 James St, Holland, MI 49424. The listed phone number is (616) 392-1873.

What is Denise Radakovitz's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Cognitive & Behavioral, with taxonomy code 103TB0200X.

Is Denise Radakovitz enrolled in Medicare?

Yes. Denise Radakovitz is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Denise Radakovitz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Denise Radakovitz reassigns Medicare benefits to County Of Ottawa (Holland, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Denise Radakovitz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Denise Radakovitz was last updated on November 17, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.