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

Cherry Street Services, Inc

Organization Clinical Neuropsychologist · NPI 1891867495

Cherry Street Services, Inc is a Clinical Neuropsychologist in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006
Specialties on file
8
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

669 Stocking Ave NW
Grand Rapids, MI 49504-5176
Phone: (616) 235-1480
Fax: (616) 458-8102
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Federally Qualified Health Center (FQHC) (primary) Taxonomy 261QF0400X
Clinical Neuropsychologist Taxonomy 103G00000X
Social Worker Taxonomy 104100000X (MI)
Dentist Taxonomy 122300000X
Nutritionist Taxonomy 133N00000X (MI)
Registered Nurse Taxonomy 163W00000X (MI)
Family Medicine Physician Taxonomy 207Q00000X
Pediatrics Physician Taxonomy 208000000X

Record details

NPI number1891867495
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tasha Blackmon — Ceo · (616) 965-8200
Other names Westside Health Center; Westside Health Center
NPI enumeratedNovember 15, 2006
Last updated in NPPESMay 7, 2018
Mailing address100 Cherry St Se, Grand Rapids, MI 49503-4526

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