| Stange Clinic, Pc | |
|
2305 E Paris Ave Se Ste 203 Grand Rapids MI 49546-2426 | |
| (616) 816-1758 | |
| (616) 333-7685 |
| Full Name | Stange Clinic, Pc |
|---|---|
| Speciality | Psychologist |
| Location | 2305 E Paris Ave Se Ste 203, Grand Rapids, Michigan |
| Authorized Official Name and Position | Tory Seif (CLINIC DIRECTOR) |
| Authorized Official Contact | 6169166680 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stange Clinic, Pc 7150 Armadale Ct Ne Belmont MI 49306-9690 Ph: (586) 764-6671 | Stange Clinic, Pc 2305 E Paris Ave Se Ste 203 Grand Rapids MI 49546-2426 Ph: (616) 816-1758 |
| NPI Number | 1205564531 |
|---|---|
| Provider Enumeration Date | 08/14/2022 |
| Last Update Date | 04/11/2025 |
| Certification Date | 04/11/2025 |
| Medicare PECOS PAC ID | 1557730603 |
|---|---|
| Medicare Enrollment ID | O20221212001673 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205564531 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Tory A Seif |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1841206091 PECOS PAC ID: 6002911187 Enrollment ID: I20100204000386 |
| Provider Name | Mary Alice Walker Blanker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114335817 PECOS PAC ID: 7416238910 Enrollment ID: I20161221000280 |
| Provider Name | Crystal Lee Feyen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376979104 PECOS PAC ID: 1254555980 Enrollment ID: I20200511001601 |
| Provider Name | Sabrina Kristine-tower Rohdy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194487579 PECOS PAC ID: 4385032044 Enrollment ID: I20211028002659 |
| Provider Name | Shasta Lane Gross |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184143539 PECOS PAC ID: 6305295940 Enrollment ID: I20231208000266 |
| Provider Name | Audrey Joy-baker Vander Wal |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396351995 PECOS PAC ID: 6002256443 Enrollment ID: I20240501003978 |
Reclaim Life Therapy Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 800 Monroe Ave Nw Ste 308, Grand Rapids, MI 49503 Phone: 616-309-0107 Fax: 616-825-6185 | |
Bridges Counseling Services Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3280 E Beltline Ct Ne, Grand Rapids, MI 49525 Phone: 616-447-3404 | |
Tru Behavior Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 941 Joslin St Se, Grand Rapids, MI 49507 Phone: 616-287-0740 | |
Hra Psychological Services Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2851 Charlevoix Dr Se Ste 323, Grand Rapids, MI 49546 Phone: 616-458-0692 Fax: 616-458-8129 | |
Perennial Health Services Plc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 233 E Fulton St, Suite 114, Grand Rapids, MI 49503 Phone: 616-633-7203 Fax: 616-427-3023 | |
Cherry Street Services Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 Sheldon Blvd Se, Grand Rapids, MI 49503 Phone: 616-965-8282 Fax: 616-940-5366 | |
Litts Investments, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4079 Park East Ct Se, Suite C, Grand Rapids, MI 49546 Phone: 269-823-4873 |