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

Alicia Beth Vanden Bussche Jantz, PHD

Individual provider Clinical Psychologist · NPI 1144678020

Alicia Beth Vanden Bussche Jantz, PHD is a Clinical Psychologist in Grand Rapids, Michigan. Qualified in 2018, 8 years ago. Practices with Spectrum Health Primary Care Partners, a 2,303-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
8
Licensed in
MI
In the registry since
2016
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

275 Michigan St NE
Grand Rapids, MI 49503-2531
Phone: (616) 267-7401
Fax: (616) 267-7594
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2750 E Beltline Ave Ne Fl 3, Grand Rapids, MI 49525-8614 — (616) 267-7104

Specialties & licences

Clinical Neuropsychologist (primary) Taxonomy 103G00000X · Licence 6301018407 (MI)
Clinical Psychologist Taxonomy 103TC0700X · Licence 6301018407 (MI)

Record details

NPI number1144678020
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedJune 1, 2016
Last updated in NPPESDecember 9, 2024
Certification dateDecember 9, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Spectrum Health Primary Care Partners — 2303 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Grand Rapids