HANNAH BAXENDALE MA, TLLP
NPI 1700398039
Psychologist in Grand Rapids, MI

Active since October 26, 2017
640 3 MILE RD NW STE G, GRAND RAPIDS, MI 49544(616) 369-8433 Get Directions Write a Review

NPPES record last updated: November 7, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 7, 2023, Oct 26, 2017 (2 updates tracked since 2017).

About Hannah Baxendale Ma, Tllp NPPES

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

HANNAH BAXENDALE MA, TLLP (NPI 1700398039) is an individual psychologist in Grand Rapids, Michigan, licensed in Michigan (6362009655) and active in the NPI registry since October 2017.

NPPES Registry Identity

NPI1700398039
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameHANNAH BAXENDALECredential: MA, TLLP
Location Address640 3 MILE RD NW STE GGrand Rapids, MI 49544-8209
Mailing Address640 3 Mile Rd Nw Ste GGrand Rapids, MI 49544-8209 · (616) 369-8433
Sole ProprietorYes
Enumeration DateOctober 26, 2017
Last NPPES UpdateNovember 7, 20232 updates tracked since enumeration
NPPES CertifiedNovember 7, 2023
NPI 1700398039 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 · 6362009655
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.

640 3 MILE RD NW STE G, Grand Rapids, MI 49544

Other Providers at the Same Location NPPES 14

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

Psychologist
640 3 MILE RD NW STE G
GRAND RAPIDS, MI 49544
Social Worker
640 3 MILE RD NW STE G
GRAND RAPIDS, MI 49544
Social Worker
640 3 MILE RD NW STE G
GRAND RAPIDS, MI 49544
Social Worker
640 3 MILE RD NW STE G
GRAND RAPIDS, MI 49544
Counselor
640 3 MILE RD NW STE G
GRAND RAPIDS, MI 49544
Social Worker
640 3 MILE RD NW STE G
GRAND RAPIDS, MI 49544
Social Worker
640 3 MILE RD NW STE G
GRAND RAPIDS, MI 49544
Counselor
640 3 MILE RD NW STE G
GRAND RAPIDS, MI 49544

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1700398039, enumerated as an "individual" on October 26, 2017.

The provider is located at 640 3 MILE RD NW STE G GRAND RAPIDS, MI 49544 and the phone number is (616) 369-8433.

Psychologist with taxonomy code 103T00000X.