MR. MICHAEL ALAN JANSEN PHD, LP
NPI 1154501062
Psychologist - Clinical Child & Adolescent in Holland, MI

NPI Status: Active since November 08, 2007

Contact Information

854 WASHINGTON AVE STE 330
HOLLAND, MI
ZIP 49423
Phone: (616) 355-3926
Fax: (616) 393-6651

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  • Individual
  • Male
  • Psychologist
  • Clinical Child & Adolescent
  • Accepts Insurance
  • PECOS Enrolled

About MICHAEL JANSEN

This page provides the complete NPI Profile along with additional information for Michael Jansen, a provider established in Holland, Michigan with a medical specialization in Psychologist, focusing in clinical child & adolescent . The healthcare provider is registered in the NPI registry with number 1154501062 assigned on November 2007. The practitioner's primary taxonomy code is 103TC2200X with license number 6301013771 (MI). The provider is registered as an individual and his NPI record was last updated 11 years ago.

NPI
1154501062
Provider Name
MR. MICHAEL ALAN JANSEN PHD, LP
Gender
Male
Entity Type
Individual
Location Address
854 WASHINGTON AVE STE 330 HOLLAND, MI 49423
Location Phone
(616) 355-3926
Location Fax
(616) 393-6651
Mailing Address
854 WASHINGTON AVE STE 330 HOLLAND, MI 49423
Mailing Phone
(616) 355-3926
Mailing Fax
(616) 393-6651
Is Sole Proprietor?
No
Enumeration Date
11-08-2007
Last Update Date
03-14-2014
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychologist Clinical Child & Adolescent

Taxonomy Code
103TC2200X
Type
Behavioral Health & Social Service Providers
License No.
6301013771
License State
MI
Taxonomy Description
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1103T00000XBehavioral Health & Social Service Providers

Psychologist

6301013771 (MI)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze Classic 4700 - EPO
  • Bronze Classic Standard - EPO
  • Bronze Elite + PCP Saver Plus - EPO
  • Gold Classic Standard - EPO
  • Gold Elite Saver Plus - EPO
  • Secure - EPO
  • Silver Classic - EPO
  • Silver Classic Standard - EPO
  • Silver Simple PCP Saver - EPO
  • MyPriority Balanced Silver - HMO
  • MyPriority Balanced Silver Bronson Healthcare Partners - HMO
  • MyPriority Balanced Silver Corewell Health West Michigan Network - HMO
  • MyPriority Balanced Silver Corewell Health West Michigan Network (Allegan, Barry) - HMO
  • MyPriority Balanced Silver Southeast Michigan Network - HMO
  • MyPriority Balanced Silver Trinity Health East Network - HMO
  • MyPriority Enhanced Gold Bronson Healthcare Partners - HMO
  • MyPriority Enhanced Gold Corewell Health West Michigan Network - HMO
  • MyPriority Enhanced Gold Corewell Health West Michigan Network (Allegan, Barry) - HMO
  • MyPriority Enhanced Gold Southeast Michigan Network - HMO
  • MyPriority Enhanced Gold Trinity Health East Network - HMO
  • MyPriority Premier Silver - HMO
  • MyPriority Premier Silver Bronson Healthcare Partners - HMO
  • MyPriority Premier Silver Corewell Health West Michigan Network - HMO
  • MyPriority Premier Silver Corewell Health West Michigan Network (Allegan, Barry) - HMO
  • MyPriority Premier Silver Southeast Michigan Network - HMO
  • MyPriority Premier Silver Trinity Health East Network - HMO
  • MyPriority Standard Bronze - HMO
  • MyPriority Standard Bronze - Bronson Healthcare Partners - HMO
  • MyPriority Standard Bronze - Corewell Health West Michigan Network - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Michael Jansen is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Reviews for MR. MICHAEL ALAN JANSEN PHD, LP

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1154501062
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
211041002012
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 0 + 4 + 1 + 0 + 0 + 2 + 0 + 1 + 2 + 24 = 38
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
40 - 38 = 22

The NPI number 1154501062 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 17 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1447517214 KYLENE KRAUSE PH.D., D.L.L.P.
Individual
Psychologist (Clinical)854 WASHINGTON AVE STE 330
HOLLAND, MI 49423
(616) 355-3926
1881022515 ERIN HEAVILIN
Individual
Nurse Practitioner (Psychiatric/Mental Health)854 WASHINGTON AVE STE 330
HOLLAND, MI 49423
(616) 355-3926
1578682399 ALICIA KATHERINE MANNES LLPC
Individual
Counselor (Professional)854 WASHINGTON AVE STE 330
HOLLAND, MI 49423
(616) 355-3926
1487165288 BRENNA RENE VERNOCKE
Individual
Social Worker854 WASHINGTON AVE STE 330
HOLLAND, MI 49423
(616) 355-3926
1669884169 JENNIFER BARABAS LMSW
Individual
Social Worker (Clinical)854 WASHINGTON AVE STE 330
HOLLAND, MI 49423
(616) 355-3926
1780888099HOLLAND COMMUNITY HOSPITAL
Organization
Clinic/Center (Mental Health (Including Community Mental Health Center))854 WASHINGTON AVE STE 330
HOLLAND, MI 49423
(616) 355-3926
1609104272 SUSAN LYNN BLAINE LMSW
Individual
Social Worker (Clinical)854 WASHINGTON AVE STE 330
HOLLAND, MI 49423
(616) 355-3926
1578092078 ELIZABETH MARIE DELREAL LMSW, CAADC
Individual
Social Worker (Clinical)854 WASHINGTON AVE STE 330
HOLLAND, MI 49423
(616) 355-3926
1336879378 CORY MEEUWSEN MSN, PMHNP-BC, RN
Individual
Nurse Practitioner (Psychiatric/Mental Health)854 WASHINGTON AVE STE 330
HOLLAND, MI 49423
(616) 355-3926
1124435276 BARBARA A VANDERMALE PMHNP
Individual
Nurse Practitioner (Psychiatric/Mental Health)854 WASHINGTON AVE STE 330
HOLLAND, MI 49423
(616) 355-3926
1760873681 STACILYN WOLTERS
Individual
Social Worker (Clinical)854 WASHINGTON AVE STE 330
HOLLAND, MI 49423
(616) 355-3926
1114621471 HEATHER G HOLT LMSW
Individual
Social Worker (Clinical)854 WASHINGTON AVE STE 330
HOLLAND, MI 49423
(616) 355-3926
1588175426 KAYLA DANIELLE ROTMAN
Individual
Social Worker (Clinical)854 WASHINGTON AVE STE 330
HOLLAND, MI 49423
(616) 355-3926
1124870860 ALICIA CADENA LMSW
Individual
Social Worker (Clinical)854 WASHINGTON AVE STE 330
HOLLAND, MI 49423
(616) 355-3926
1326699422 MCKINSEY DOOLAARD
Individual
Social Worker (Clinical)854 WASHINGTON AVE STE 330
HOLLAND, MI 49423
(616) 355-3926
1073962650 MEAGAN MAAS MD, MPH
Individual
Psychiatry & Neurology (Psychiatry)854 WASHINGTON AVE STE 330
HOLLAND, MI 49423
(616) 355-3926
1487207684MR. FRANK WAMSLEY LMSW
Individual
Social Worker (Clinical)854 WASHINGTON AVE STE 330
HOLLAND, MI 49423
(616) 355-3926

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154501062, enumerated in the NPI registry as an "individual" on November 08, 2007

The provider is located at 854 Washington Ave Ste 330 Holland, Mi 49423 and the phone number is (616) 355-3926

The provider's speciality is Psychologist with taxonomy code 103TC2200X with a focus in Clinical Child & Adolescent

The provider might be accepting Accepts: Oscar Insurance Company and Priority Health. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

This NPI record was last updated on November 08, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.