Stange Clinic, PC
NPI 1205564531 · Clinical Psychologist · Grand Rapids, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Stange Clinic, PC is a Clinical Psychologist organization in Grand Rapids, MI (NPI 1205564531).
Provider details
- NPI number
- 1205564531
- Entity type
- Organization
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Jennifer Bedford, Director(616) 951-1132
Specialties & taxonomies
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
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Other names (DBA / former)
- Doing business as
- Ellie Mental Health
- Doing business as
- Ellie Mental Health
Additional practice locations (1)
- 4175 Parkway Place Dr Sw Ste 100Grandville, MI 49418-2382Phone: (616) 371-5166Fax: (616) 333-7685
Registry dates
- Enumerated
- 2022-08-14
- Last updated
- 2026-05-29
- Certified
- 2026-05-29
Frequently asked questions
- What is Stange Clinic, PC's NPI number?
- Stange Clinic, PC's National Provider Identifier (NPI) is 1205564531, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Stange Clinic, PC?
- Stange Clinic, PC is classified in the NPPES registry as Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Stange Clinic, PC located?
- Stange Clinic, PC's practice location on file with NPPES is 2305 E Paris Ave Se Ste 203, Grand Rapids, MI 49546-2426.
- What is Stange Clinic, PC's phone number?
- The practice phone number listed in the NPPES registry for Stange Clinic, PC is (616) 816-1758.
- Does Stange Clinic, PC accept Medicare?
- Stange Clinic, PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Stange Clinic, PC?
- The authorized official listed on Stange Clinic, PC's NPPES record is Jennifer Bedford, Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Stange Clinic, PC's NPI active?
- Yes — Stange Clinic, PC's NPI (1205564531) is active in the NPPES registry as of the last update on 2026-05-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.