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DRAYCEN DECATOR
NPI 1447738877
Clinical Neuropsychologist in Grand Rapids, MI

Active since July 28, 2018PECOS Enrolled
3292 N EVERGREEN DR NE, GRAND RAPIDS, MI 49525(616) 365-8920(616) 365-8971 Get Directions Write a Review

NPPES record last updated: July 28, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Draycen Decator NPPES

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

DRAYCEN DECATOR (NPI 1447738877) is an individual clinical neuropsychologist in Grand Rapids, Michigan, licensed in Michigan (6301017537) and active in the NPI registry since July 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1447738877
Entity TypeIndividualMale
Primary Taxonomy103G00000X
Provider Legal NameDRAYCEN DECATOR
Location Address3292 N EVERGREEN DR NEGrand Rapids, MI 49525-9746
Mailing Address3292 N Evergreen Dr NeGrand Rapids, MI 49525-9746 · (616) 365-8920 · Fax (616) 365-8971
Phone(616) 365-8920
Fax(616) 365-8971
Sole ProprietorNo
Enumeration DateJuly 28, 2018
✔ NPI 1447738877 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 · 6301017537
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.
3292 N EVERGREEN DR NE, Grand Rapids, MI 49525
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Draycen Decator is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 20

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

NANCY HAMSTREET LMSW
Social Worker (School)
3292 N EVERGREEN DR NE
GRAND RAPIDS, MI 49525
Kent County (616) 365-8920
RENEE ORR LMSW
Social Worker
3292 N EVERGREEN DR NE
GRAND RAPIDS, MI 49525
Kent County (616) 365-8920
STEPHANIE BROWN
Social Worker (Clinical)
3292 N EVERGREEN DR NE
GRAND RAPIDS, MI 49525
Kent County (616) 365-8920
KENDRA-MARIE MADDISON GARCIA MD, BCBA, LBA
Behavior Analyst
3292 N EVERGREEN DR NE
GRAND RAPIDS, MI 49525
Kent County (616) 365-8920
KRESTIN RADONOVICH PHD
Psychologist (Clinical)
3292 N EVERGREEN DR NE
GRAND RAPIDS, MI 49525
Kent County (616) 365-8920
LAUREN VANDRUNEN LMSW
Social Worker (Clinical)
3292 N EVERGREEN DR NE
GRAND RAPIDS, MI 49525
Kent County (616) 365-8920
MATTHEW SCOTT PETTINGA MA, LPC
Counselor
3292 N EVERGREEN DR NE
GRAND RAPIDS, MI 49525
Kent County (616) 365-8920
SUSAN MCKEEBY BCBA, LBA
Behavior Analyst
3292 N EVERGREEN DR NE
GRAND RAPIDS, MI 49525
Kent County (616) 365-8920

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 Draycen Decator's NPI number?

The NPI number for Draycen Decator is 1447738877. It was assigned to this individual provider in the NPPES registry on July 28, 2018.

Where is Draycen Decator located?

Draycen Decator practices at 3292 N Evergreen Dr NE, Grand Rapids, MI 49525. The listed phone number is (616) 365-8920.

What is Draycen Decator's specialty?

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

Is Draycen Decator enrolled in Medicare?

Yes. Draycen Decator is registered in the Medicare PECOS enrollment system.

What insurance does Draycen Decator accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Providence Health Plan list Draycen Decator 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 Draycen Decator was last updated on July 28, 2018. 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.