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

Individual provider Clinical Psychologist · NPI 1760466056

Michael M Makedonsky, PHD is a Clinical Psychologist in Grand Rapids, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2005
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

3501 Lake Eastbrook Blvd SE Ste 222
Grand Rapids, MI 49546-5940
Phone: (616) 957-0730
Fax: (616) 957-1057
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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 000656 (MI)

Record details

NPI number1760466056
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedDecember 1, 2005
Last updated in NPPESOctober 3, 2011
Mailing addressPo Box 1767, Grand Rapids, MI 49501-1767

Other providers in Grand Rapids