DR. LUKE VANDER WAL PSY.D
NPI 1467075176
Psychologist - Clinical in Grandville, MI

Active since May 28, 2020PECOS EnrolledAccepts Medicare Assignment
4211 PARKWAY PLACE DR SW, GRANDVILLE, MI 49418(616) 222-3700 Get Directions Write a Review

NPPES record last updated: October 31, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 31, 2023, Aug 3, 2020, May 28, 2020 (3 updates tracked since 2020).

About Dr. Luke Vander Wal Psy.d NPPES

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

DR. LUKE VANDER WAL PSY.D (NPI 1467075176) is an individual clinical provider in Grandville, Michigan, licensed in Michigan (6301019396) and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1467075176
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. LUKE VANDER WALCredential: PSY.D
Location Address4211 PARKWAY PLACE DR SWGrandville, MI 49418-2695
Mailing Address300 68th St SeGrand Rapids, MI 49548-6927
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMay 28, 2020
Last NPPES UpdateOctober 31, 20233 updates tracked since enumeration
NPPES CertifiedOctober 31, 2023
NPI 1467075176 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Licenses Licensed in MI · 6301019396 Licensed in MI · 6351004490
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
4211 PARKWAY PLACE DR SW, Grandville, MI 49418

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

Dr. Luke Vander Wal Psy.d 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 ID1951757525
PECOS Enrollment IDI20231102001863
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49418 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$166.68 typical visit price
range $54.34 – $166.68
Typical copayment $41.67 (range $13.58 – $41.67)
Most-billed visit code 99205
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Social Worker
4211 PARKWAY PLACE DR SW
GRANDVILLE, MI 49418
Psychologist (Clinical)
4211 PARKWAY PLACE DR SW
GRANDVILLE, MI 49418
Social Worker (Clinical)
4211 PARKWAY PLACE DR SW
GRANDVILLE, MI 49418
Physician Assistant
4211 PARKWAY PLACE DR SW
GRANDVILLE, MI 49418
Behavior Analyst
4211 PARKWAY PLACE DR SW
GRANDVILLE, MI 49418
Physician Assistant
4211 PARKWAY PLACE DR SW
GRANDVILLE, MI 49418
Counselor (Professional)
4211 PARKWAY PLACE DR SW
GRANDVILLE, MI 49418
Counselor (Professional)
4211 PARKWAY PLACE DR SW
GRANDVILLE, MI 49418

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 Luke Vander Wal's NPI number?

The NPI number for Luke Vander Wal is 1467075176. It was assigned to this individual provider in the NPPES registry on May 28, 2020.

Where is Luke Vander Wal located?

Luke Vander Wal practices at 4211 Parkway Place Dr SW, Grandville, MI 49418. The listed phone number is (616) 222-3700.

What is Luke Vander Wal's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Luke Vander Wal enrolled in Medicare?

Yes. Luke Vander Wal 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 Luke Vander Wal accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community, Oscar Insurance Company and Priority Health and 1 other insurer list Luke Vander Wal 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 Luke Vander Wal was last updated on October 31, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.