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

Heshan Jude Fernando, PHD

Individual provider Clinical Psychologist · NPI 1942860119

Heshan Jude Fernando, PHD is a Clinical Psychologist in Grand Rapids, Michigan. Qualified in 2017, 9 years ago. Practices with Spectrum Health Primary Care Partners, a 2,303-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
9
Licensed in
MI
In the registry since
2019
Specialties on file
3
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

275 Michigan St NE
Grand Rapids, MI 49503-2531
Phone: (616) 267-7401
Fax: (616) 267-7594
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2750 E Beltline Ave Ne Fl 3, Grand Rapids, MI 49525-8614 — (616) 267-7104

Specialties & licences

Clinical Neuropsychologist (primary) Taxonomy 103G00000X · Licence 6301017923 (MI)
Clinical Psychologist Taxonomy 103TC0700X · Licence 6301017923 (MI)
Clinical Neurophysiology Physician Taxonomy 2084N0600X · Licence 6301017923 (MI)

Record details

NPI number1942860119
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedJune 19, 2019
Last updated in NPPESDecember 9, 2024
Certification dateDecember 9, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Spectrum Health Primary Care Partners — 2303 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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