CENTER FOR AUTISM – NPI #1104128602
Psychiatry & Neurology

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

CENTER FOR AUTISM is a psychiatry & neurologist located in GRAND RAPIDS, MI. NPPES has assigned the NPI number 1104128602 to CENTER FOR AUTISM on December 03, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CENTER FOR AUTISM” is a dba name, the actual legal business name for this organization is HOPE NETWORK BEHAVIORAL HEALTH SERVICES. According to the NPI Registry, there are 3 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 2084P0804X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry

The NPI profile was previously updated about 6 years ago on Feb 10, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CENTER FOR AUTISM below.

NPI Profile for
HOPE NETWORK BEHAVIORAL HEALTH SERVICES

NPI Number
1104128602
Enumeration Date

(more than 15 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
HOPE NETWORK BEHAVIORAL HEALTH SERVICES
Doing Business As (dba): CENTER FOR AUTISM
Primary location
3361 36TH STREET
GRAND RAPIDS, MI 49512
Phone: (616) 942-2522 Fax:
3 Other location(s):
2875 Eyde Pkwy Ste 100
East Lansing, MI 48823-5368
Phone: (844) 969-0252
1256 Walker Ave NW
Grand Rapids, MI 49504-4067
Phone: (616) 942-2522
11172 Adams St
Holland, MI 49423-9163
Phone: (616) 942-2522
Mailing address
3075 ORCHARD VISTA DR SE
GRAND RAPIDS, MI 49546-7069
Phone: (616) 301-8000 Fax:
Organization Subpart
Yes - CENTER FOR AUTISM is subpart of another organization.
Authorized Official
TIMOTHY BECKER
COO
Phone: (616) 301-8000
Updated
Certification Date
Feb 10, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2084P0804X
- Psychiatry & Neurology / Child & Adolescent Psychiatry (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.