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

Jennifer Bauer, PHD

Individual provider Psychologist · NPI 1295044451

Jennifer Bauer, PHD is a Clinical Psychologist in Wyoming, Michigan. Qualified in 2016, 10 years ago. Works from 4 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
10
Licensed in
MI
In the registry since
2010
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

2675 44th St SW Ste 305
Wyoming, MI 49519-4191
Phone: (616) 777-7123
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 330 E Beltline Ave Ne Ste 320, Grand Rapids, MI 49506-1267 — (616) 805-3660
  • 3790 30th St Se, Grandville, MI 49418-1201 — (616) 204-1180
  • 4175 Parkway Place Dr Sw Ste 104, Grandville, MI 49418-2382 — (616) 805-3660

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 6301016853 (MI)
Psychologist Taxonomy 103T00000X · Licence 6301014607 (MI)

Record details

NPI number1295044451
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedOctober 5, 2010
Last updated in NPPESApril 24, 2024
Certification dateApril 24, 2024
Mailing address3833 Pine Meadow Dr, Holland, MI 49424-8594

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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