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

Dr. Peter Koehn, PHD

Individual provider Clinical Psychologist · NPI 1487817789

Dr. Peter Koehn, PHD is a Clinical Psychologist in Grand Rapids, Michigan. Practices as a sole proprietor. Licensed in Illinois and Michigan.

Licensed in
IL, MI
In the registry since
2008
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

4032 Lindberg Ave NE
Grand Rapids, MI 49525-1451
Phone: (616) 570-5056
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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 6301016953 (MI)
Clinical Psychologist Taxonomy 103TC0700X · Licence 071007428 (IL)

Record details

NPI number1487817789
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedJuly 7, 2008
Last updated in NPPESJune 3, 2024
Certification dateJune 3, 2024
Mailing address4032 Lindberg Ave Ne, Grand Rapids, MI 49525-1451

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