Thomas Scott Halstead, Ph.D.
Clinical Neuropsychologist in Grand Rapids, MI. Individual provider (NPI-1).
NPI number1992733653
StatusActive
Last updated in NPPESSep 11, 2025
Details
- NPI
- 1992733653
- Entity type
- Individual (NPI-1)
- Name
- Thomas Scott Halstead
- Credential
- Ph.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 29, 2006
- Last updated
- Sep 11, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 6301011275 | MI | Yes |
| 103T00000X | Psychologist | 6301012275 | MI |
Practice location
300 68th St SeGrand Rapids, MI 49548-6927
Phone 616-455-5000
Mailing address
300 68th St SeGrand Rapids, MI 49548-6927
Phone 616-455-5000
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Clinical Neuropsychologist providers in Grand Rapids, MI
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All 39 Clinical Neuropsychologist providers in Grand Rapids · All 20,987 providers in Grand Rapids
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