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

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: July 19, 2026.

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.

MR. WILLIAM HOWARD EDWARDS V LMSW
Social Worker (Clinical)
3501 LAKE EASTBROOK BLVD SE, SUITE 146
GRAND RAPIDS, MI 49546
Kent County (616) 821-3386
MS. PATRICIA ANN MAKSOUDIAN MS, LMFT
Marriage & Family Therapist
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
DR. RANDALL LEE HERREMA PSY.D.
Psychologist (Clinical)
3501 LAKE EASTBROOK BLVD SE, SUITE 280
GRAND RAPIDS, MI 49546
Kent County (616) 942-7331
MS. CLAIRE A ANDRUS LLPC
Counselor (Mental Health)
3501 LAKE EASTBROOK BLVD SE, SUITE 262
GRAND RAPIDS, MI 49546
Kent County (616) 977-5700
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
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
KIZOMBO LAMBERT KALUMBULA PH.D. (C)
Psychologist (Counseling)
3501 LAKE EASTBROOK BLVD SE, SUITE 280
GRAND RAPIDS, MI 49546
Kent County (616) 942-7331

Frequently Asked Questions

What is Michael Makedonsky's NPI number?

The NPI number assigned to this healthcare provider is 1760466056, enumerated as an "individual" on December 01, 2005.

Where is the provider located?

The provider is located at 3501 LAKE EASTBROOK BLVD SE SUITE 222 GRAND RAPIDS, MI 49546 and the phone number is (616) 957-0730.

What is the provider's specialty?

Psychologist with taxonomy code 103TC0700X and a focus in Clinical.