WEDGWOOD CHRISTIAN SERVICES
NPI 1902997224
Clinic/Center - Mental Health (Including Community Mental Health Center) in Grand Rapids, MI

Q: What is Wedgwood Christian Services's NPI number?

The NPI number for Wedgwood Christian Services is 1902997224. It was assigned to this organization in the NPPES registry on September 28, 2006.

Q: What is Wedgwood Christian Services's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Active since September 28, 2006

3300 36TH ST SE, GRAND RAPIDS, MI 49512(616) 942-2110(616) 942-0589 Get Directions Write a Review

NPPES record last updated: November 4, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 4, 2024, Nov 1, 2023, Mar 24, 2021 and 1 more (4 updates tracked since 2018).

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About Wedgwood Christian Services NPPES

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

WEDGWOOD CHRISTIAN SERVICES (NPI 1902997224) is a healthcare organization registered as a mental health (including community mental health center) in Grand Rapids, Michigan and active in the NPI registry since September 2006. The organization maintains 3 additional practice locations and lists Daniel T Gowdy, Ceo/president, as its authorized official.

NPPES Registry Identity

NPI1902997224

Entity TypeOrganization

Primary Taxonomy261QM0801X

Legal Business NameWEDGWOOD CHRISTIAN SERVICES

Location Address3300 36TH ST SEGrand Rapids, MI 49512-2810

Mailing Address3300 36th St SeGrand Rapids, MI 49512-2810 · (616) 942-2110 · Fax (616) 942-0589

Phone(616) 942-2110

Fax(616) 942-0589

Organization SubpartNo

Authorized OfficialDaniel T GowdyCeo/president · (616) 942-2110

Enumeration DateSeptember 28, 2006

Last NPPES UpdateNovember 4, 20244 updates tracked since enumeration

NPPES CertifiedNovember 4, 2024

✔ NPI 1902997224 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities

Taxonomy Code261QM0801X

Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X

Also ListedResidential Treatment Facility, Emotionally Disturbed ChildrenTaxonomy 322D00000X · License CI410201226 (MI), CI410201359 (MI), CI410201082 (MI), CICI410201003 (MI), CI410201501 (MI)

Also ListedSubstance Abuse Rehabilitation Facility · Substance Abuse Treatment, ChildrenTaxonomy 3245S0500X · License CI410201502 (MI)

3300 36TH ST SE, Grand Rapids, MI 49512

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Secondary Practice Locations 3

Location 1950 W Norton Ave Ste 301Muskegon, MI 49441-4183 · Phone (616) 942-2110

Location 21260 Ekhart St NEGrand Rapids, MI 49503-1380 · Phone (616) 942-2110

Location 312930 James St Ste 120Holland, MI 49424-8324 · Phone (616) 942-2110

Accepted Insurance

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

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. KATHERINE E. KUNNEN DNP, FNP-C, PMHNP-BC

Nurse Practitioner (Psychiatric/Mental Health)