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

Spectrum Health Primary Care Partner

Organization Psychologist · NPI 1104650761

Spectrum Health Primary Care Partner is a Psychologist in Big Rapids, Michigan. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2

Practice location Address checks out

14755 215th Ave
Big Rapids, MI 49307-9224
Phone: (616) 447-5820
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Psychologist Taxonomy 103T00000X

Record details

NPI number1104650761
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ryan Catignani — Vp Provider Services · (947) 522-0008
Other names Corewell Health Medical Group West
NPI enumeratedAugust 27, 2024
Last updated in NPPESAugust 27, 2024
Certification dateAugust 27, 2024
Mailing address100 Michigan St Ne # Mc845, Grand Rapids, MI 49503-2560

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