Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CANDICE TUDOR
NPI 1972440816
Psychologist in Grand Rapids, MI

Active since April 29, 2026
300 68TH ST SE, GRAND RAPIDS, MI 49548(616) 455-5000(616) 281-6459 Get Directions Write a Review

NPPES record last updated: June 22, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Candice Tudor NPPES

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

CANDICE TUDOR (NPI 1972440816) is an individual psychologist in Grand Rapids, Michigan, licensed in Michigan (6362009738) and active in the NPI registry since April 2026. The provider maintains a secondary practice location in Grand Rapids.

NPPES Registry Identity

NPI1972440816
Entity TypeIndividual
Primary Taxonomy103T00000X
Provider Legal NameCANDICE TUDOR
Location Address300 68TH ST SEGrand Rapids, MI 49548-6927
Mailing Address300 68th St SeGrand Rapids, MI 49548-6927 · (616) 455-5000 · Fax (616) 281-6459
Fax(616) 281-6459
Sole ProprietorNo
Enumeration DateApril 29, 2026
Last NPPES UpdateJune 22, 2026
NPPES CertifiedJune 22, 2026
NPI 1972440816 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 · 6362009738
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.
300 68TH ST SE, Grand Rapids, MI 49548

Secondary Practice Location 1

Location 11870 Leonard St NEGrand Rapids, MI 49505-5650 · Phone (616) 956-1122 · Fax (616) 956-5650

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.

Social Worker (Clinical)
300 68TH ST SE
GRAND RAPIDS, MI 49548
Social Worker
300 68TH ST SE
GRAND RAPIDS, MI 49548
Behavior Analyst
300 68TH ST SE
GRAND RAPIDS, MI 49548
Social Worker (Clinical)
300 68TH ST SE
GRAND RAPIDS, MI 49548
Social Worker
300 68TH ST SE
GRAND RAPIDS, MI 49548
Psychiatry & Neurology (Psychiatry)
300 68TH ST SE
GRAND RAPIDS, MI 49548
Social Worker (Clinical)
300 68TH ST SE
GRAND RAPIDS, MI 49548
Counselor (Mental Health)
300 68TH ST SE
GRAND RAPIDS, MI 49548

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 Candice Tudor's NPI number?

The NPI number for Candice Tudor is 1972440816. It was assigned to this individual provider in the NPPES registry on April 29, 2026.

Where is Candice Tudor located?

Candice Tudor practices at 300 68th St SE, Grand Rapids, MI 49548. The listed phone number is (616) 455-5000.

What is Candice Tudor'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 Candice Tudor was last updated on June 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 52 days 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.