JORDAN CHARLES ENGELHARD DLLP
NPI 1508119892
Psychologist in Spring Lake, MI

Active since October 24, 2012PECOS EnrolledAccepts Medicare Assignment
17325 VAN WAGONER RD, SPRING LAKE, MI 49456(616) 847-5145 Get Directions Write a Review

NPPES record last updated: October 24, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jordan Charles Engelhard Dllp NPPES

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

JORDAN CHARLES ENGELHARD DLLP (NPI 1508119892) is an individual psychologist in Spring Lake, Michigan, licensed in Michigan (6301015358) and active in the NPI registry since October 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1508119892
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameJORDAN CHARLES ENGELHARDCredential: DLLP
Location Address17325 VAN WAGONER RDSpring Lake, MI 49456-9702
Mailing Address300 68th St SeGrand Rapids, MI 49548-6927 · (616) 455-5000
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateOctober 24, 2012
NPI 1508119892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MI · 6301015358
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
17325 VAN WAGONER RD, Spring Lake, MI 49456

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

Jordan Charles Engelhard Dllp 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 ID1355568304
PECOS Enrollment IDI20140814001585
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 16

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

Social Worker (Clinical)
17325 VAN WAGONER RD
SPRING LAKE, MI 49456
Counselor (Professional)
17325 VAN WAGONER RD
SPRING LAKE, MI 49456
Social Worker (Clinical)
17325 VAN WAGONER RD
SPRING LAKE, MI 49456
Psychologist
17325 VAN WAGONER RD
SPRING LAKE, MI 49456
Psychiatry & Neurology (Psychiatry)
17325 VAN WAGONER RD
SPRING LAKE, MI 49456
Social Worker (Clinical)
17325 VAN WAGONER RD
SPRING LAKE, MI 49456
Psychiatric Hospital
17325 VAN WAGONER RD
SPRING LAKE, MI 49456
Psychiatry & Neurology (Psychiatry)
17325 VAN WAGONER RD
SPRING LAKE, MI 49456

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 Jordan Engelhard's NPI number?

The NPI number for Jordan Engelhard is 1508119892. It was assigned to this individual provider in the NPPES registry on October 24, 2012.

Where is Jordan Engelhard located?

Jordan Engelhard practices at 17325 Van Wagoner Rd, Spring Lake, MI 49456. The listed phone number is (616) 847-5145.

What is Jordan Engelhard's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Jordan Engelhard enrolled in Medicare?

Yes. Jordan Engelhard 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 Jordan Engelhard accept?

Health plans from Priority Health list Jordan Engelhard 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 Jordan Engelhard was last updated on October 24, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.