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

Reilly Jacobson, LLP

Individual provider Psychologist · NPI 1891476107

Reilly Jacobson, LLP is a Psychologist in Grand Rapids, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2023
Specialties on file
2

Practice location Address checks out

640 3 Mile Rd NW Ste G
Grand Rapids, MI 49544-8209
Phone: (616) 369-8433
Show map & directions

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

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 6361008233 (MI)
Psychologist Taxonomy 103T00000X · Licence 6362009732 (MI)

Record details

NPI number1891476107
Entity typeIndividual (Type 1)
GenderFemale
Credentials LLP
Sole proprietorYes
NPI enumeratedJuly 28, 2023
Last updated in NPPESMarch 30, 2026
Certification dateMarch 30, 2026
Mailing address158 Westown Dr Nw Apt 303, Grand Rapids, MI 49534-3719

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