OrganizationActive
Center for Adolescent and Child Neurology
NPI 1942620638 · Neurology with Special Qualifications in Child Neurology Physician · Grand Rapids, MI
Provider details
- NPI number
- 1942620638
- Entity type
- Organization
- Primary specialty
- Neurology with Special Qualifications in Child Neurology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Olufemi Soyode, Owner(616) 294-0010
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
422 Plymouth Ave Ne
Grand Rapids, MI 49505-6028
Phone: (616) 294-0010
Street-level locationGet directions
Mailing address
422 Plymouth Ave Ne
Grand Rapids, MI 49505-6028
Registry dates
- Enumerated
- 2014-04-21
- Last updated
- 2015-02-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.