Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Clinical Psychiatric Medicine PC

Organization Psychiatry Physician · NPI 1386677185

Clinical Psychiatric Medicine PC provides Psychiatry Physician services in Grandville, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

0-151 44th St SW
Grandville, MI 49418
Phone: (616) 457-1889
Fax: (616) 457-1891
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 4301045669 (MI)

Record details

NPI number1386677185
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nan Ah — President · (616) 457-1889
NPI enumeratedJuly 8, 2006
Last updated in NPPESAugust 22, 2020
Mailing address0-151 44th Street Sw, Grandville, MI 49418

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