OrganizationActive
Jerry B Vanleeuwen PHD PC
NPI 1497943146 · Cognitive & Behavioral Psychologist · Grand Rapids, MI
Provider details
- NPI number
- 1497943146
- Entity type
- Organization
- Primary specialty
- Cognitive & Behavioral PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Jerry Van Leeuwen, President(616) 458-5294
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
6255 28th St Se Ste M
Grand Rapids, MI 49546-6966
Phone: (616) 458-5294
Fax: (616) 458-5295
Approximate (ZIP-level) locationGet directions
Mailing address
6255 28th St Se Ste M
Grand Rapids, MI 49546-6966
Registry dates
- Enumerated
- 2007-10-09
- Last updated
- 2023-12-04
- Certified
- 2023-12-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.