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

Mr. Trevor Jaskiw, PSYD

Individual provider Psychologist · NPI 1083159370

Mr. Trevor Jaskiw, PSYD is a Clinical Psychologist in Grand Rapids, Michigan. Qualified in 2021, 5 years ago. Practices with Mary Free Bed Rehabilitation Hospital, a 132-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
5
Licensed in
MI
In the registry since
2016
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

235 Wealthy St SE
Grand Rapids, MI 49503-5247
Phone: (614) 733-1146
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 6301019402 (MI)

Record details

NPI number1083159370
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD
Sole proprietorYes
NPI enumeratedDecember 22, 2016
Last updated in NPPESApril 10, 2024
Certification dateApril 10, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Mary Free Bed Rehabilitation Hospital — 132 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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