RUSH PEDIATRIC NEUROPSYCHOLOGY, PLLC
NPI 1740997477
Clinical Neuropsychologist in Grand Rapids, MI

Q: What is Rush Pediatric Neuropsychology, PLLC's NPI number?

The NPI number for Rush Pediatric Neuropsychology, PLLC is 1740997477. It was assigned to this organization in the NPPES registry on November 2, 2022.

Q: What is Rush Pediatric Neuropsychology, PLLC's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Active since November 02, 2022

412 PLYMOUTH AVE NE, GRAND RAPIDS, MI 49505(616) 780-0590(616) 984-4559 Get Directions Write a Review

NPPES record last updated: May 12, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 12, 2023, Nov 2, 2022 (2 updates tracked since 2022).

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About Rush Pediatric Neuropsychology, Pllc NPPES

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

RUSH PEDIATRIC NEUROPSYCHOLOGY, PLLC (NPI 1740997477) is a healthcare organization registered as a clinical neuropsychologist in Grand Rapids, Michigan and active in the NPI registry since November 2022. The organization lists Shana J Rush, Owner, as its authorized official.

NPPES Registry Identity

NPI1740997477

Entity TypeOrganization

Primary Taxonomy103G00000X

Legal Business NameRUSH PEDIATRIC NEUROPSYCHOLOGY, PLLC

Location Address412 PLYMOUTH AVE NEGrand Rapids, MI 49505-6028

Mailing Address412 Plymouth Ave NeGrand Rapids, MI 49505-6028 · (616) 780-0590 · Fax (616) 984-4559

Phone(616) 780-0590

Fax(616) 984-4559

Organization SubpartNo

Authorized OfficialShana J RushOwner · (616) 780-0590

Enumeration DateNovember 2, 2022

Last NPPES UpdateMay 12, 20232 updates tracked since enumeration

NPPES CertifiedMay 12, 2023

✔ NPI 1740997477 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers

Taxonomy Code103G00000X

Definition

A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

Also ListedPsychologistTaxonomy 103T00000X

412 PLYMOUTH AVE NE, Grand Rapids, MI 49505

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Other Providers at the Same Location NPPES 6

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

MS. MADELINE REESE MA

Clinical Neuropsychologist