CENTER FOR ADOLESCENT AND CHILD NEUROLOGY
NPI 1942620638
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in Grand Rapids, MI

Active since April 21, 2014
422 PLYMOUTH AVE NE, GRAND RAPIDS, MI 49505(616) 294-0010 Get Directions Write a Review

NPPES record last updated: February 17, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Center For Adolescent And Child Neurology NPPES

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

CENTER FOR ADOLESCENT AND CHILD NEUROLOGY (NPI 1942620638) is a healthcare organization registered as a neurology with special qualifications in child neurology in Grand Rapids, Michigan and active in the NPI registry since April 2014. The organization lists Olufemi Oluseun Soyode, Owner, as its authorized official.

NPPES Registry Identity

NPI1942620638
Entity TypeOrganization
Primary Taxonomy2084N0402X
Legal Business NameCENTER FOR ADOLESCENT AND CHILD NEUROLOGY
Location Address422 PLYMOUTH AVE NEGrand Rapids, MI 49505-6028
Mailing Address422 Plymouth Ave NeGrand Rapids, MI 49505-6028 · (616) 294-0010
Organization SubpartNo
Authorized OfficialOlufemi Oluseun SoyodeOwner · (616) 294-0010
Enumeration DateApril 21, 2014
Last NPPES UpdateFebruary 17, 2015
NPI 1942620638 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · Neurology with Special Qualifications in Child NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0402X
Definition

A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.

422 PLYMOUTH AVE NE, Grand Rapids, MI 49505

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 2

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

Surgery
422 PLYMOUTH AVE NE
GRAND RAPIDS, MI 49505
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
422 PLYMOUTH AVE NE
GRAND RAPIDS, MI 49505

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1942620638, enumerated as an "organization" on April 21, 2014.

The provider is located at 422 PLYMOUTH AVE NE GRAND RAPIDS, MI 49505 and the phone number is (616) 294-0010.

Psychiatry & Neurology with taxonomy code 2084N0402X and a focus in Neurology with Special Qualifications in Child Neurology.