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

Individual provider Clinical Psychologist · NPI 1093863540

Daniel J De Witt, PSYD is a Clinical Psychologist in Grand Rapids, Michigan. Qualified in 1982, 44 years ago. Practices with Psychology Associates of Grand Rapids PC, an 18-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
44
Licensed in
MI
In the registry since
2007
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

1000 Parchment Dr SE
Grand Rapids, MI 49546-3663
Phone: (616) 957-9112
Fax: (616) 957-2409
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 6301005950 (MI)

Record details

NPI number1093863540
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD
Sole proprietorNo
NPI enumeratedJanuary 8, 2007
Last updated in NPPESJuly 8, 2007

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1982 (44 years in practice)
Group practice Psychology Associates Of Grand Rapids Pc — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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