Healthcare Provider Details

I. General information

NPI: 1386267318
Provider Name (Legal Business Name): WHITNEY CLARE CUMMINGS DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: WHITNEY CLARE HIMES DO

II. Dates (important events)

Enumeration Date: 05/26/2020
Last Update Date: 08/07/2025
Certification Date: 07/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 LEONARD ST NE
GRAND RAPIDS MI
49505-5515
US

IV. Provider business mailing address

1400 LEONARD ST NE
GRAND RAPIDS MI
49505-5515
US

V. Phone/Fax

Practice location:
  • Phone: 616-217-4435
  • Fax:
Mailing address:
  • Phone: 616-217-4435
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number5101028034
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number5101028034
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: