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

Great Lakes Psychiatric Services, PC

Organization Adult Mental Health Clinic/Center · NPI 1275653115

Great Lakes Psychiatric Services, PC is an Adult Mental Health Clinic/Center in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2007.

Licensed in
MI
In the registry since
2007
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

1179 E Paris Ave SE Ste 220
Grand Rapids, MI 49546-8371
Phone: (616) 454-2004
Fax: (616) 454-0061
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Mental Health Clinic/Center (primary) Taxonomy 261QM0850X · Licence 5101009000 (MI)

Record details

NPI number1275653115
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Vander Velde — President · (616) 454-2004
NPI enumeratedMarch 31, 2007
Last updated in NPPESAugust 22, 2020
Mailing address1179 E Paris Ave Se, Suite 220, Grand Rapids, MI 49546-8371

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