Healthcare Provider Details

I. General information

NPI: 1386774396
Provider Name (Legal Business Name): STEVEN G. HAMMING, PSY.D., PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/07/2007
Last Update Date: 07/09/2025
Certification Date: 07/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

146 MONROE CENTER ST NW SUITE 606
GRAND RAPIDS MI
49503-2833
US

IV. Provider business mailing address

146 MONROE CENTER SUITE 606
GRAND RAPIDS MI
49503-2815
US

V. Phone/Fax

Practice location:
  • Phone: 616-459-0000
  • Fax: 616-459-0000
Mailing address:
  • Phone: 616-459-0000
  • Fax: 616-459-0000

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number6301008656
License Number StateMI

VIII. Authorized Official

Name: DR. STEVEN GENE HAMMING
Title or Position: PRESIDENT
Credential: PSY.D.
Phone: 616-459-0000