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MICHAEL MAKEDONSKY PHD
NPI 1811160476
Psychologist - Clinical in Grand Rapids, MI

Active since April 03, 2008
3501 LAKE EASTBROOK BLVD SE STE 222, GRAND RAPIDS, MI 49546(616) 957-0731 Get Directions Write a Review

NPPES record last updated: April 3, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Michael Makedonsky Phd NPPES

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

MICHAEL MAKEDONSKY PHD (NPI 1811160476) is a healthcare organization registered as a clinical in Grand Rapids, Michigan and active in the NPI registry since April 2008. The organization lists Michael M Makedonsky, Owner, as its authorized official.

NPPES Registry Identity

NPI1811160476
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameMICHAEL MAKEDONSKY PHD
Location Address3501 LAKE EASTBROOK BLVD SE STE 222Grand Rapids, MI 49546-5940
Mailing AddressPo Box 120125Grand Rapids, MI 49528-0103 · (616) 235-2090 · Fax (616) 235-2099
Phone(616) 957-0731
Organization SubpartNo
Authorized OfficialMichael M MakedonskyOwner · (616) 957-0731
Enumeration DateApril 3, 2008
✔ NPI 1811160476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
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 STE 222, Grand Rapids, MI 49546
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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

Other Providers at the Same Location NPPES

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

MEGAN GIROUX, LLC
Social Worker (Clinical)
3501 LAKE EASTBROOK BLVD SE STE 222
GRAND RAPIDS, MI 49546
Kent County (616) 209-8060

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 Phd's NPI number?

The NPI number for Michael Makedonsky Phd is 1811160476. It was assigned to this organization in the NPPES registry on April 3, 2008.

Where is Michael Makedonsky Phd located?

Michael Makedonsky Phd is located at 3501 Lake Eastbrook Blvd SE Ste 222, Grand Rapids, MI 49546. The listed phone number is (616) 957-0731.

What is Michael Makedonsky Phd'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 Phd was last updated on April 3, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.