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DR. J. PATRICK DUIVEN PSY.D.
NPI 1972685527
Psychologist - Clinical in Grand Rapids, MI

Active since October 20, 2006PECOS EnrolledAccepts Medicare Assignment
4133 EMBASSY DR SE, GRAND RAPIDS, MI 49546(616) 956-6700(616) 956-6773 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. J. Patrick Duiven Psy.d. NPPES

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

DR. J. PATRICK DUIVEN PSY.D. (NPI 1972685527) is an individual clinical provider in Grand Rapids, Michigan, licensed in Michigan (6301002423) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1984).

NPPES Registry Identity

NPI1972685527
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. J. PATRICK DUIVENCredential: PSY.D.
Location Address4133 EMBASSY DR SEGrand Rapids, MI 49546-2418
Mailing Address4133 Embassy Dr SeGrand Rapids, MI 49546-2418 · (616) 956-6700 · Fax (616) 956-6773
Phone(616) 956-6700
Fax(616) 956-6773
Sole ProprietorYes
Medical School CMSOtherGraduated 1984
Enumeration DateOctober 20, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1972685527 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in MI · 6301002423
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.
4133 EMBASSY DR SE, Grand Rapids, MI 49546
Open in Google Maps ↗

Other Identifiers 2

OtherOD14566MI · Bcbsm
Medicare ID-Type UnspecifiedON11770MI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. J. Patrick Duiven Psy.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2062607237
PECOS Enrollment IDI20170306000606
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.

Medicare Billing Reassignments

2

Medicare enrollment records show J. Duiven reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

J Patrick Duiven Psyd PC
Same address
Clinical
4133 EMBASSY DR SE
Grand Rapids, MI 49546
  • Reassigned Medicare billing, Colorado enrollment
NPI 1124328265 (616) 956-6700
Westside Behavioral Care, Inc.
1,031 mi
Professional
1319 S DOWNING ST
Denver, CO 80210
  • Reassigned Medicare billing, Colorado enrollment
  • 48 clinicians in this Medicare group
NPI 1851402903 (303) 986-4197

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49546 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$166.68 typical visit price
range $54.34 – $166.68
Typical copayment $41.67 (range $13.58 – $41.67)
Most-billed visit code 99205
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

J PATRICK DUIVEN PSYD PC
Psychologist (Clinical)
4133 EMBASSY DR SE
GRAND RAPIDS, MI 49546
Kent County (616) 956-6700
ROBERT W VAN NOORD PC
Clinic/Center (Adult Mental Health)
4133 EMBASSY DR SE
GRAND RAPIDS, MI 49546
Kent County (616) 956-6700

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 J. Duiven's NPI number?

The NPI number for J. Duiven is 1972685527. It was assigned to this individual provider in the NPPES registry on October 20, 2006.

Where is J. Duiven located?

J. Duiven practices at 4133 Embassy Dr SE, Grand Rapids, MI 49546. The listed phone number is (616) 956-6700.

What is J. Duiven's specialty?

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

Is J. Duiven enrolled in Medicare?

Yes. J. Duiven is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for J. Duiven's services?

According to the CMS Revalidation Reassignment List (October 2026 release), J. Duiven reassigns Medicare benefits to 2 organizations: J Patrick Duiven Psyd PC (Grand Rapids, MI) and Westside Behavioral Care, Inc. (Denver, CO). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for J. Duiven's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for J. Duiven 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.