DR. DANE VERMERRIS ED.D.
NPI 1639235989
Psychologist in Ada, MI

Active since December 29, 2006PECOS EnrolledAccepts Medicare Assignment
4670 FULTON ST E, STE D, ADA, MI 49301(616) 644-0022(616) 940-8151 Get Directions Write a Review

NPPES record last updated: April 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 3, 2025, Mar 19, 2021, Jan 3, 2017 (3 updates tracked since 2017).

About Dr. Dane Vermerris Ed.d. NPPES

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

DR. DANE VERMERRIS ED.D. (NPI 1639235989) is an individual psychologist in Ada, Michigan, licensed in Michigan (6301005868) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Grand Rapids, and is a graduate of Other (1987).

NPPES Registry Identity

NPI1639235989
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. DANE VERMERRISCredential: ED.D.
Location Address4670 FULTON ST E, STE DAda, MI 49301-8455
Mailing Address2333 Sinclair Ave Ne, Ste DGrand Rapids, MI 49505-4156
Fax(616) 940-8151
Sole ProprietorYes
Medical School CMSOtherGraduated 1987
Enumeration DateDecember 29, 2006
Last NPPES UpdateApril 3, 20253 updates tracked since enumeration
NPPES CertifiedApril 3, 2025
NPI 1639235989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MI · 6301005868
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.
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 6301005868 (MI)
4670 FULTON ST E, Ada, MI 49301

Secondary Practice Location 1

Location 11490 E Beltline Ave SEGrand Rapids, MI 49506-4336 · Phone (616) 464-1164

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. Dane Vermerris Ed.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 ID1759438351
PECOS Enrollment IDI20090420000141
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 4

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

Psychologist (Counseling)
4670 FULTON ST E, SUITE 101
ADA, MI 49301
Psychologist
4670 FULTON ST E, SUITE 101
ADA, MI 49301
Psychologist (Counseling)
4670 FULTON ST E, SUITE 101
ADA, MI 49301
Clinic/Center (Mental Health (Including Community Mental Health Center))
4670 FULTON ST E
ADA, MI 49301

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 Dane Vermerris's NPI number?

The NPI number for Dane Vermerris is 1639235989. It was assigned to this individual provider in the NPPES registry on December 29, 2006.

Where is Dane Vermerris located?

Dane Vermerris practices at 4670 Fulton St E Ste D, Ada, MI 49301. The listed phone number is (616) 644-0022.

What is Dane Vermerris's specialty?

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

Is Dane Vermerris enrolled in Medicare?

Yes. Dane Vermerris 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 Dane Vermerris accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Dane Vermerris 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 Dane Vermerris was last updated on April 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.