LIFELINE INTERVENTIONAL THERAPEUTICS, PLLC
NPI 1912726811
Psychiatry & Neurology - Psychiatry in Grand Rapids, MI

Active since October 08, 2024
1179 E PARIS AVE SE STE 100, GRAND RAPIDS, MI 49546(616) 400-5433(616) 360-2034 Get Directions Write a Review

NPPES record last updated: December 6, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Dec 6, 2024, Oct 8, 2024 (2 updates tracked since 2024).

About Lifeline Interventional Therapeutics, Pllc NPPES

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

LIFELINE INTERVENTIONAL THERAPEUTICS, PLLC (NPI 1912726811) is a healthcare organization registered as a psychiatry in Grand Rapids, Michigan and active in the NPI registry since October 2024. The organization lists William Paul Vanlonkhuyzen, Partner/physician Assistant, as its authorized official.

NPPES Registry Identity

NPI1912726811
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameLIFELINE INTERVENTIONAL THERAPEUTICS, PLLC
Location Address1179 E PARIS AVE SE STE 100Grand Rapids, MI 49546-3682
Mailing Address1179 E Paris Ave Se Ste 100Grand Rapids, MI 49546-3682 · (616) 400-5433 · Fax (616) 360-2034
Fax(616) 360-2034
Organization SubpartNo
Authorized OfficialWilliam Paul VanlonkhuyzenPartner/physician Assistant · (616) 400-5433
Enumeration DateOctober 8, 2024
Last NPPES UpdateDecember 6, 20242 updates tracked since enumeration
NPPES CertifiedDecember 6, 2024
NPI 1912726811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedPsychiatry & Neurology · Addiction MedicineTaxonomy 2084A0401X
Also ListedPsychiatry & Neurology · Pain MedicineTaxonomy 2084P2900X
Also ListedPhysician AssistantTaxonomy 363A00000X
1179 E PARIS AVE SE STE 100, Grand Rapids, MI 49546

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 2

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

Psychiatry & Neurology (Addiction Medicine)
1179 E PARIS AVE SE STE 100
GRAND RAPIDS, MI 49546
Physician Assistant
1179 E PARIS AVE SE STE 100
GRAND RAPIDS, MI 49546

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 Lifeline Interventional Therapeutics, PLLC's NPI number?

The NPI number for Lifeline Interventional Therapeutics, PLLC is 1912726811. It was assigned to this organization in the NPPES registry on October 8, 2024.

Where is Lifeline Interventional Therapeutics, PLLC located?

Lifeline Interventional Therapeutics, PLLC is located at 1179 E Paris Ave SE Ste 100, Grand Rapids, MI 49546. The listed phone number is (616) 400-5433.

What is Lifeline Interventional Therapeutics, PLLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

What insurance does Lifeline Interventional Therapeutics, PLLC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Lifeline Interventional Therapeutics, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lifeline Interventional Therapeutics, PLLC was last updated on December 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.