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JERRY B VANLEEUWEN PHD PC
NPI 1497943146
Psychologist - Cognitive & Behavioral in Grand Rapids, MI

Active since October 09, 2007
6255 28TH ST SE STE M, GRAND RAPIDS, MI 49546(616) 458-5294(616) 458-5295 Get Directions Write a Review

NPPES record last updated: December 4, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jerry B Vanleeuwen Phd Pc NPPES

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

JERRY B VANLEEUWEN PHD PC (NPI 1497943146) is a healthcare organization registered as a cognitive & behavioral in Grand Rapids, Michigan and active in the NPI registry since October 2007. The organization lists Jerry B. Van Leeuwen, President, as its authorized official.

NPPES Registry Identity

NPI1497943146
Entity TypeOrganization
Primary Taxonomy103TB0200X
Legal Business NameJERRY B VANLEEUWEN PHD PC
Location Address6255 28TH ST SE STE MGrand Rapids, MI 49546-6966
Mailing Address6255 28th St Se Ste MGrand Rapids, MI 49546-6966 · (616) 458-5294 · Fax (616) 458-5295
Phone(616) 458-5294
Fax(616) 458-5295
Organization SubpartNo
Authorized OfficialJerry B. Van LeeuwenPresident · (616) 458-5294
Enumeration DateOctober 9, 2007
Last NPPES UpdateDecember 4, 2023
NPPES CertifiedDecember 4, 2023
✔ NPI 1497943146 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Cognitive & BehavioralBehavioral Health & Social Service Providers
Taxonomy Code103TB0200X
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.
6255 28TH ST SE STE M, Grand Rapids, MI 49546
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Other Identifiers 1

Medicaid1336340140MI

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.Insurance ›

Other Providers at the Same Location NPPES

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

JERRY BERNARD VANLEEUWEN PHD
Psychologist
6255 28TH ST SE STE M
GRAND RAPIDS, MI 49546
Kent County (616) 458-5294

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 Jerry B Vanleeuwen Phd PC's NPI number?

The NPI number for Jerry B Vanleeuwen Phd PC is 1497943146. It was assigned to this organization in the NPPES registry on October 9, 2007.

Where is Jerry B Vanleeuwen Phd PC located?

Jerry B Vanleeuwen Phd PC is located at 6255 28th St SE Ste M, Grand Rapids, MI 49546. The listed phone number is (616) 458-5294.

What is Jerry B Vanleeuwen Phd PC's specialty?

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

What insurance does Jerry B Vanleeuwen Phd PC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Jerry B Vanleeuwen Phd PC 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 Jerry B Vanleeuwen Phd PC was last updated on December 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.