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

Gregory Scot Deacon, LLP

Individual provider Cognitive & Behavioral Psychologist · NPI 1689740078

Gregory Scot Deacon, LLP is a Cognitive & Behavioral Psychologist in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006
Specialties on file
5

Practice location Address checks out

201 Sheldon Blvd SE
Grand Rapids, MI 49503-4513
Phone: (616) 459-4212
Fax: (616) 774-9022
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 6301010405 (MI)
Cognitive & Behavioral Psychologist Taxonomy 103TB0200X · Licence 6301010405 (MI)
Clinical Psychologist Taxonomy 103TC0700X · Licence 6301010405 (MI)
Counseling Psychologist Taxonomy 103TC1900X · Licence 6301010405 (MI)
Social Worker Taxonomy 104100000X · Licence 6301010405 (MI)

Record details

NPI number1689740078
Entity typeIndividual (Type 1)
GenderMale
Credentials LLP
Sole proprietorNo
NPI enumeratedNovember 28, 2006
Last updated in NPPESSeptember 11, 2025

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