MR. DAVID UITDEFLESCH MA, LLP
NPI 1962535856
Psychologist - Clinical in Grand Rapids, MI

Q: What is David Uitdeflesch's NPI number?

The NPI number for David Uitdeflesch is 1962535856. It was assigned to this individual provider in the NPPES registry on March 13, 2007.

Q: What is David Uitdeflesch's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for David Uitdeflesch was last updated on January 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since March 13, 2007

2828 KRAFT AVE SE STE 186, GRAND RAPIDS, MI 49512(616) 949-9550(616) 949-9551 Get Directions Write a Review

NPPES record last updated: January 31, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mr. David Uitdeflesch Ma, Llp NPPES

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

MR. DAVID UITDEFLESCH MA, LLP (NPI 1962535856) is an individual clinical provider in Grand Rapids, Michigan, licensed in Michigan (6361001214) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1962535856

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameMR. DAVID UITDEFLESCHCredential: MA, LLP

Location Address2828 KRAFT AVE SE STE 186Grand Rapids, MI 49512-2076

Mailing Address2828 Kraft Ave Se Ste 186Grand Rapids, MI 49512-2076 · (616) 949-9550 · Fax (616) 949-9551

Phone(616) 949-9550

Fax(616) 949-9551

Sole ProprietorNo

Enumeration DateMarch 13, 2007

Last NPPES UpdateJanuary 31, 2025

NPPES CertifiedJanuary 31, 2025

✔ NPI 1962535856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in MI · 6361001214

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.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

2828 KRAFT AVE SE STE 186, Grand Rapids, MI 49512

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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, McLaren Health Plan Community and more.Insurance ›

Other Providers at the Same Location NPPES 14

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

RACHAEL MOUW LLMSW

Social Worker (Clinical)