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

Individual provider Clinical Psychologist · NPI 1063016046

Dr. Trisha Nichole Tanis, PHD is a Clinical Psychologist in Grand Rapids, Michigan. Qualified in 2022, 4 years ago. Practices as a sole proprietor and works from 2 locations. Licensed in Michigan.

Years since qualifying
4
Licensed in
MI
In the registry since
2020
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

500 Cascade West Pkwy SE Ste 240
Grand Rapids, MI 49546-2166
Phone: (616) 591-9000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 238 Hoover Blvd Ste 10, Holland, MI 49423-3755 — (616) 591-9000

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 6301019380 (MI)
Clinical Psychologist Taxonomy 103TC0700X · Licence 6351004500 (MI)

Record details

NPI number1063016046
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedNovember 30, 2020
Last updated in NPPESFebruary 13, 2026
Certification dateFebruary 13, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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