Krestin Radonovich, PHD
NPI 1063627396 · Clinical Psychologist · Grand Rapids, MI
Enrolled with Medicare as Practitioner - Clinical Psychologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Krestin Radonovich, PHD is a Clinical Psychologist provider in Grand Rapids, MI (NPI 1063627396).
Provider details
- NPI number
- 1063627396
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PHD
- Sex
- Female
- Sole proprietor
- No
- License
- 6301019674 (MI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-05-11
- Last updated
- 2025-10-06
- Certified
- 2025-10-06
Frequently asked questions
- What is Krestin Radonovich's NPI number?
- Krestin Radonovich's National Provider Identifier (NPI) is 1063627396, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Krestin Radonovich's specialty?
- Krestin Radonovich is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Krestin Radonovich located?
- Krestin Radonovich's practice location on file with NPPES is 3292 N Evergreen Dr Ne, Grand Rapids, MI 49525-9746.
- What is Krestin Radonovich's phone number?
- The practice phone number listed in the NPPES registry for Krestin Radonovich is (616) 365-8920.
- Does Krestin Radonovich accept Medicare?
- Krestin Radonovich is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Krestin Radonovich's NPI active?
- Yes — Krestin Radonovich's NPI (1063627396) is active in the NPPES registry as of the last update on 2025-10-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.