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

Individual provider Clinical Psychologist · NPI 1316924525

Theodore J Jansma Jr., PHD is a Clinical Psychologist in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2005.

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

3330 Claystone St SE
Grand Rapids, MI 49546-7716
Phone: (616) 942-8060
Fax: (616) 942-6690
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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 6301001233 (MI)

Record details

NPI number1316924525
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedDecember 29, 2005
Last updated in NPPESJune 26, 2008

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