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

Dr. Luke Vander Wal, PSYD

Individual provider Clinical Psychologist · NPI 1467075176

Dr. Luke Vander Wal, PSYD is a Clinical Psychologist in Grandville, Michigan. Qualified in 2018, 8 years ago. Practices with Pine Rest Christian Mental Health Services, a 353-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
8
Licensed in
MI
In the registry since
2020
Specialties on file
2
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

4211 Parkway Place Dr SW
Grandville, MI 49418-2695
Phone: (616) 222-3700
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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 6301019396 (MI)
Clinical Psychologist Taxonomy 103TC0700X · Licence 6351004490 (MI)

Record details

NPI number1467075176
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD
Sole proprietorNo
NPI enumeratedMay 28, 2020
Last updated in NPPESOctober 31, 2023
Certification dateOctober 31, 2023
Mailing address300 68th St Se, Grand Rapids, MI 49548-6927

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 Pine Rest Christian Mental Health Services — 353 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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