TAMMY MATVICHUK
NPI 1871384339
Psychologist in Kentwood, MI

Active since May 14, 2025
3230 BROADMOOR AVE SE STE D, KENTWOOD, MI 49512(616) 821-4211 Get Directions Write a Review

NPPES record last updated: May 27, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 27, 2025, May 14, 2025 (2 updates tracked since 2025).

About Tammy Matvichuk NPPES

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

TAMMY MATVICHUK (NPI 1871384339) is an individual psychologist in Kentwood, Michigan, licensed in Michigan (6362010012) and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1871384339
Entity TypeIndividual
Primary Taxonomy103T00000X
Provider Legal NameTAMMY MATVICHUK
Location Address3230 BROADMOOR AVE SE STE DKentwood, MI 49512-8180
Mailing Address3230 Broadmoor Ave Se Ste DKentwood, MI 49512-8180
Sole ProprietorYes
Enumeration DateMay 14, 2025
Last NPPES UpdateMay 27, 20252 updates tracked since enumeration
NPPES CertifiedMay 27, 2025
NPI 1871384339 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 · 6362010012
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.
3230 BROADMOOR AVE SE STE D, Kentwood, MI 49512

Other Providers at the Same Location NPPES 7

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

Counselor (Professional)
3230 BROADMOOR AVE SE STE D
KENTWOOD, MI 49512
Psychologist
3230 BROADMOOR AVE SE STE D
KENTWOOD, MI 49512
Psychologist (Clinical)
3230 BROADMOOR AVE SE STE D
KENTWOOD, MI 49512
Marriage & Family Therapist
3230 BROADMOOR AVE SE STE D
KENTWOOD, MI 49512
Clinical Neuropsychologist
3230 BROADMOOR AVE SE STE D
KENTWOOD, MI 49512
Clinical Neuropsychologist
3230 BROADMOOR AVE SE STE D
KENTWOOD, MI 49512
Psychologist
3230 BROADMOOR AVE SE STE D
KENTWOOD, MI 49512

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 Tammy Matvichuk's NPI number?

The NPI number for Tammy Matvichuk is 1871384339. It was assigned to this individual provider in the NPPES registry on May 14, 2025.

Where is Tammy Matvichuk located?

Tammy Matvichuk practices at 3230 Broadmoor Ave SE Ste D, Kentwood, MI 49512. The listed phone number is (616) 821-4211.

What is Tammy Matvichuk's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Tammy Matvichuk was last updated on May 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.