MEDICARE: MICHAEL MAKEDONSKY PHD

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	103TC0700X	Clinical Psychologist

General Provider Information

NPI Number	:	1811160476
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MICHAEL MAKEDONSKY PHD

Provider Business Mailing Address
First Line	:	PO BOX 120125
Second Line	:
City	:	GRAND RAPIDS
State	:	MI
Zip	:	49528-0103
Country	:	US
Telephone Number	:	616-235-2090
Fax Number	:	616-235-2099

Provider Business Practice Location Address
First Line	:	3501 LAKE EASTBROOK BLVD SE STE 222
Second Line	:
City	:	GRAND RAPIDS
State	:	MI
Zip	:	49546-5940
Country	:	US
Telephone Number	:	616-957-0731
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MICHAEL M MAKEDONSKY
Credential	:	PHD
Telephone Number	:	616-957-0731

Provider Enumeration Date	:	04/03/2008
Last Update Date	:	04/03/2008

Similar Medicare Providers

1467282343 — ZION HEALING CENTER OF GRAND RAPIDS LLC
Practice Location Address:

3501 LAKE EASTBROOK BLVD SE STE 150
GRAND RAPIDS, MI
49546-5940

Practice Phone: 616-460-1168
Practice Fax:

1760466056 — MICHAEL M MAKEDONSKY PHD
Practice Location Address:

3501 LAKE EASTBROOK BLVD SE , SUITE 222
GRAND RAPIDS, MI
49546-5940

Practice Phone: 616-957-0730
Practice Fax: 616-957-1057

1124584545 — REBECCA NELSON LLC
Practice Location Address:

3501 LAKE EASTBROOK BLVD SE STE 280
GRAND RAPIDS, MI
49546-5940

Practice Phone: 616-202-6638
Practice Fax:

1891337226 — MEGAN GIROUX, LLC
Practice Location Address:

3501 LAKE EASTBROOK BLVD SE STE 222
GRAND RAPIDS, MI
49546-5940

Practice Phone: 616-209-8060
Practice Fax: 231-766-6569

1801497524 — ALICIA JOHNSON LLMSW
Practice Location Address:

3501 LAKE EASTBROOK BLVD SE STE 220
GRAND RAPIDS, MI
49546-5940

Practice Phone: 616-279-8311
Practice Fax:

1538921663 — ALICIA JOHNSON COUNSELING SERVICES, LLC
Practice Location Address:

3501 LAKE EASTBROOK BLVD SE STE 220
GRAND RAPIDS, MI
49546-5940

Practice Phone: 616-279-8311
Practice Fax:

Directions to “MICHAEL MAKEDONSKY PHD ” 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 © 2007-2026 (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.