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ROCHELLE G MANOR PH.D.
NPI 1972651396
Clinical Neuropsychologist in Grand Rapids, MI

Active since January 08, 2007PECOS Enrolled
3351 EAGLE RUN DR NE, SUITE C, GRAND RAPIDS, MI 49525(616) 365-8920(616) 365-8971 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Rochelle G Manor Ph.d. NPPES

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

ROCHELLE G MANOR PH.D. (NPI 1972651396) is an individual clinical neuropsychologist in Grand Rapids, Michigan, licensed in Michigan (6301009319) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1994).

NPPES Registry Identity

NPI1972651396
Entity TypeIndividualFemale
Primary Taxonomy103G00000X
Provider Legal NameROCHELLE G MANORCredential: PH.D.
Location Address3351 EAGLE RUN DR NE, SUITE CGrand Rapids, MI 49525-7053
Mailing Address3351 Eagle Run Dr Ne, Suite CGrand Rapids, MI 49525-7053 · (616) 365-8920 · Fax (616) 365-8971
Phone(616) 365-8920
Fax(616) 365-8971
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateJanuary 8, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1972651396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License✔ Licensed in MI · 6301009319
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
3351 EAGLE RUN DR NE, Grand Rapids, MI 49525
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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, Priority Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rochelle G Manor Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9436043965
PECOS Enrollment IDI20251027000612
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 9

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

MR. BRANDEN LYON LMSW
Social Worker (Clinical)
3351 EAGLE RUN DR NE, SUITE C
GRAND RAPIDS, MI 49525
Kent County (616) 365-8920
MRS. MICHELINE MARTHA LOCKERD LMSW
Social Worker (Clinical)
3351 EAGLE RUN DR NE
GRAND RAPIDS, MI 49525
Kent County (616) 365-8920
ELITE SPINE AND MUSCULOSKELETAL CENTER PLLC
Physical Medicine & Rehabilitation (Pain Medicine)
3351 EAGLE RUN DR NE
GRAND RAPIDS, MI 49525
Kent County (616) 325-1224
SPECTRUM HEALTH PRIMARY CARE PARTNERS
Psychiatry & Neurology (Psychiatry)
3351 EAGLE RUN DR NE
GRAND RAPIDS, MI 49525
Kent County (616) 454-2004
KELLY J FAIRCHILD LMSW
Social Worker (Clinical)
3351 EAGLE RUN DR NE, STE C
GRAND RAPIDS, MI 49525
Kent County (616) 365-8920
MRS. JENNIFER ANN PHILLIPS MSW, LMSW
Social Worker (Clinical)
3351 EAGLE RUN DR NE, SUITE C
GRAND RAPIDS, MI 49525
Kent County (616) 365-8920
RENE LOUISE MANKER
Physical Therapist (Pediatrics)
3351 EAGLE RUN DR NE
GRAND RAPIDS, MI 49525
Kent County (616) 365-8920
MR. BRADLEY TAYLOR BRIDGES LMSW
Social Worker (Clinical)
3351 EAGLE RUN DR NE
GRAND RAPIDS, MI 49525
Kent County (616) 365-8920

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 Rochelle Manor's NPI number?

The NPI number for Rochelle Manor is 1972651396. It was assigned to this individual provider in the NPPES registry on January 8, 2007.

Where is Rochelle Manor located?

Rochelle Manor practices at 3351 Eagle Run Dr NE Suite C, Grand Rapids, MI 49525. The listed phone number is (616) 365-8920.

What is Rochelle Manor's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Rochelle Manor enrolled in Medicare?

Yes. Rochelle Manor is registered in the Medicare PECOS enrollment system.

What insurance does Rochelle Manor accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health and Providence Health Plan list Rochelle Manor 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 Rochelle Manor was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.