MICHAEL M MAKEDONSKY PHD
NPI 1760466056
Psychologist - Clinical in Grand Rapids, MI

Q: What is Michael Makedonsky's NPI number?

The NPI number for Michael Makedonsky is 1760466056. It was assigned to this individual provider in the NPPES registry on December 1, 2005.

Q: What is Michael Makedonsky's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since December 01, 2005

3501 LAKE EASTBROOK BLVD SE, SUITE 222, GRAND RAPIDS, MI 49546(616) 957-0730(616) 957-1057 Get Directions Write a Review

NPPES record last updated: October 3, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Michael M Makedonsky Phd NPPES

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

MICHAEL M MAKEDONSKY PHD (NPI 1760466056) is an individual clinical provider in Grand Rapids, Michigan, licensed in Michigan (000656) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1760466056

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameMICHAEL M MAKEDONSKYCredential: PHD

Location Address3501 LAKE EASTBROOK BLVD SE, SUITE 222Grand Rapids, MI 49546-5940

Mailing AddressPo Box 1767Grand Rapids, MI 49501-1767 · (616) 235-2090 · Fax (616) 235-2099

Phone(616) 957-0730

Fax(616) 957-1057

Sole ProprietorYes

Enumeration DateDecember 1, 2005

Last NPPES UpdateOctober 3, 2011

✔ NPI 1760466056 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in MI · 000656

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

3501 LAKE EASTBROOK BLVD SE, Grand Rapids, MI 49546

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Other Providers at the Same Location NPPES 20

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

DR. RANDALL LEE HERREMA PSY.D.

Psychologist (Clinical)

3501 LAKE EASTBROOK BLVD SE, SUITE 280
GRAND RAPIDS, MI 49546

Kent County (616) 942-7331

DR. MICHAEL DUANE FORREST PH.D, LPC, NCC

Counselor (Professional)

3501 LAKE EASTBROOK BLVD SE, SUITE 280
GRAND RAPIDS, MI 49546

Kent County (616) 942-7331

ARTHUR M DAGLOW COUNSELING CENTER

Social Worker (Clinical)

3501 LAKE EASTBROOK BLVD SE, SUITE 280
GRAND RAPIDS, MI 49546

Kent County (616) 942-7331

ADOLESCENT AND FAMILY BEHAVIORAL HEALTH SERVICES

Psychologist

3501 LAKE EASTBROOK BLVD SE, #258
GRAND RAPIDS, MI 49546

Kent County (616) 719-0194

JULIA A. MCINTIRE MA, LPC

Counselor (Professional)

3501 LAKE EASTBROOK BLVD SE, SUITE 146
GRAND RAPIDS, MI 49546

Kent County (616) 822-4858

LOIS ANNE MOORE MSW, LMSW, LMFT

Social Worker (Clinical)

3501 LAKE EASTBROOK BLVD SE, SUITE 280
GRAND RAPIDS, MI 49546

Kent County (616) 942-7331

KHALIA RENITA TWORK LLPC

Counselor (Mental Health)

3501 LAKE EASTBROOK BLVD SE, SUITE 258
GRAND RAPIDS, MI 49546

Kent County (616) 295-7614

MS. CLAIRE A ANDRUS LLPC

Counselor (Mental Health)

3501 LAKE EASTBROOK BLVD SE, SUITE 262
GRAND RAPIDS, MI 49546

Kent County (616) 977-5700

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 Michael Makedonsky's NPI number?

The NPI number for Michael Makedonsky is 1760466056. It was assigned to this individual provider in the NPPES registry on December 1, 2005.

Where is Michael Makedonsky located?

Michael Makedonsky practices at 3501 Lake Eastbrook Blvd SE Suite 222, Grand Rapids, MI 49546. The listed phone number is (616) 957-0730.

What is Michael Makedonsky's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Michael Makedonsky was last updated on October 3, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.