1275653115 GREAT LAKES PSYCHIATRIC SERVICES, P.C.

Adult Mental Health Clinic/Center

Active

Basic Information

Organization Name
GREAT LAKES PSYCHIATRIC SERVICES, P.C.
Enumeration Date
March 31, 2007
Last Update
August 22, 2020
Authorized Official
DR. DAVID DIRK VANDER VELDE D.O.
PRESIDENT
Phone: (616) 454-2004

Practice Location

Address
1179 E PARIS AVE SE
SUITE 220
GRAND RAPIDS, MI 495468371
Phone
(616) 454-2004
Fax
(616) 454-0061

Mailing Address

Address
1179 E PARIS AVE SE
SUITE 220
GRAND RAPIDS, MI 495468371
Phone
(616) 454-2004
Fax
(616) 454-0061

Specialties & Taxonomies

Specialty Code Classification License State Primary
Adult Mental Health Clinic/Center
Adult Mental Health
261QM0850X Clinic/Center 5101009000 MI Primary

Other Identifiers

Identifier Type State Issuer
26OD111150 01 MI BLUE CROSS BLUE SHIELD

Frequently Asked Questions

What is GREAT LAKES PSYCHIATRIC SERVICES, P.C.'s NPI number?
GREAT LAKES PSYCHIATRIC SERVICES, P.C.'s NPI number is 1275653115.
Which doctor has NPI number 1275653115?
The doctor with NPI number 1275653115 is GREAT LAKES PSYCHIATRIC SERVICES, P.C..
What is GREAT LAKES PSYCHIATRIC SERVICES, P.C.'s practice address?
GREAT LAKES PSYCHIATRIC SERVICES, P.C.'s practice address is 1179 E PARIS AVE SE, SUITE 220, GRAND RAPIDS, MI, 495468371.
Which doctor practices at 1179 E PARIS AVE SE, SUITE 220, GRAND RAPIDS, MI, 495468371?
GREAT LAKES PSYCHIATRIC SERVICES, P.C. practices at 1179 E PARIS AVE SE, SUITE 220, GRAND RAPIDS, MI, 495468371.
What is GREAT LAKES PSYCHIATRIC SERVICES, P.C.'s phone number?
GREAT LAKES PSYCHIATRIC SERVICES, P.C.'s phone number is (616) 454-2004.
Who is (616) 454-2004?
(616) 454-2004 is the phone number for GREAT LAKES PSYCHIATRIC SERVICES, P.C..
What is GREAT LAKES PSYCHIATRIC SERVICES, P.C.'s specialty?
GREAT LAKES PSYCHIATRIC SERVICES, P.C.'s specialty is Adult Mental Health Clinic/Center.
What type of doctor is GREAT LAKES PSYCHIATRIC SERVICES, P.C.?
GREAT LAKES PSYCHIATRIC SERVICES, P.C. is a Adult Mental Health Clinic/Center.
Is GREAT LAKES PSYCHIATRIC SERVICES, P.C. a Adult Mental Health?
Yes, GREAT LAKES PSYCHIATRIC SERVICES, P.C. is a Adult Mental Health.
Is GREAT LAKES PSYCHIATRIC SERVICES, P.C. still practicing?
Yes, GREAT LAKES PSYCHIATRIC SERVICES, P.C. is currently practicing.
Is GREAT LAKES PSYCHIATRIC SERVICES, P.C. accepting new patients?
GREAT LAKES PSYCHIATRIC SERVICES, P.C. may be accepting new patients. Please call their office at (616) 454-2004 to inquire about availability.
Is NPI 1275653115 still active?
Yes, NPI 1275653115 is currently active.
Where does GREAT LAKES PSYCHIATRIC SERVICES, P.C. practice?
GREAT LAKES PSYCHIATRIC SERVICES, P.C. practices in GRAND RAPIDS, MI.