MEDICARE: DAVID GREGG PHD, LP, CAADC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist	6301016924	MI

General Provider Information

NPI Number	:	1790150456
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID GREGG PHD, LP, CAADC

Provider Business Mailing Address
First Line	:	6418 HAMPTON ST
Second Line	:
City	:	PORTAGE
State	:	MI
Zip	:	49024-2532
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4017 W MAIN ST STE 100
Second Line	:
City	:	KALAMAZOO
State	:	MI
Zip	:	49006-3731
Country	:	US
Telephone Number	:	248-808-3875
Fax Number	:	269-350-5779

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/07/2015
Last Update Date	:	05/22/2023

Similar Medicare Providers

1598760530 — DR. LORRAINE D. HANNA D.D.S.
Practice Location Address:

4017 W MAIN ST , STE 300
KALAMAZOO, MI
49006-3731

Practice Phone: 269-349-3203
Practice Fax: 269-349-5721

1700288081 — FAMILY COUNSELING AND MEDIATION SERVICES LLC
Practice Location Address:

4017 W MAIN ST STE 100 , SUITE 100
KALAMAZOO, MI
49006-3731

Practice Phone: 269-488-5903
Practice Fax: 269-775-1288

1285017244 — KERBY PSYCHOLOGICAL SERVICES PLLC
Practice Location Address:

4017 W MAIN ST STE 100
KALAMAZOO, MI
49006-3731

Practice Phone: 269-205-8772
Practice Fax:

1003381468 — REBECCA GAGE
Practice Location Address:

4017 W MAIN ST STE 100
KALAMAZOO, MI
49006-3731

Practice Phone: 269-775-1283
Practice Fax:

1386273225 — CASEY SLAGER MA, LLPC
Practice Location Address:

4017 W MAIN ST STE 100
KALAMAZOO, MI
49006-3731

Practice Phone: 269-370-5108
Practice Fax:

1023614138 — JAY BURR TOMPKINS M.A
Practice Location Address:

4017 W MAIN ST STE 100
KALAMAZOO, MI
49006-3731

Practice Phone: 269-205-6339
Practice Fax:

Directions to “ DAVID GREGG PHD, LP, CAADC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.