SANDRA JEAN WYNN-STELT (MA LLP BCBA) – Intellectual & Developmental Disabilities Psychologist, NPI 1033398581

Intellectual & Developmental Disabilities Psychologist

SANDRA JEAN WYNN-STELT (MA LLP BCBA) is a healthcare provider. based in Grand rapids, Michigan. specializing in Intellectual & Developmental Disabilities Psychologist. They hold the professional credentials MA LLP BCBA. They hold a License No. 1-14-15612 (MI). The NPI Number for SANDRA JEAN WYNN-STELT (MA LLP BCBA) is 1033398581

Main info

Female

35 Years Of Experience

Accepts Medicare Assignment

Name

SANDRA JEAN WYNN-STELT (MA LLP BCBA)

NPI

1033398581

Phone

(616) 647-3460

Address

680 3 MILE RD NW

Enumeration Date

1 November 2007

Last Update Date

17 April 2020

Doctor Profile

Medical School Name

OTHER

Secondary Phone

6166473460

Graduation Year

1991 (35 years ago)

PAC ID

7214019009

Group Practice PAC ID

0143302935

Professional Enrollment ID

I20200504000534

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience74

Completeness75

Years active:18State licenses:2Digital endpointsOther names

Provider Addresses for SANDRA JEAN WYNN-STELT (MA LLP BCBA)

680 3 MILE RD NW
SUITE C
GRAND RAPIDS, MI 495448218
Phone: (616) 647-3460
Fax: (616) 647-3467
Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 49544)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 0143302935View full group profile

Name	Specialty	State
TIMOTHY GERARD LEONARD (LMSW)	-	MI
LAURA VELZEN TRIEZENBERG (MSW)	-	MI
VICTORIA L WILSON (MA, LLP, BCBA)	-	MI

Reviews

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Frequently asked questions

What unique ID ties claims to SANDRA JEAN WYNN-STELT (MA LLP BCBA)?

NPI 1033398581 is assigned to SANDRA JEAN WYNN-STELT (MA LLP BCBA) under the national enumeration system.

Is SANDRA JEAN WYNN-STELT (MA LLP BCBA)'s NPI currently valid?

The extract we use shows SANDRA JEAN WYNN-STELT (MA LLP BCBA) as active.

What field does SANDRA JEAN WYNN-STELT (MA LLP BCBA) work in?

You can think of SANDRA JEAN WYNN-STELT (MA LLP BCBA) as practicing within Intellectual & Developmental Disabilities Psychologist. Clinical services aligned with this taxonomy classification.

What location metadata exists for SANDRA JEAN WYNN-STELT (MA LLP BCBA)?

The page summarizes Grand Rapids, Michigan for SANDRA JEAN WYNN-STELT (MA LLP BCBA); expand the address list for detail.

Is SANDRA JEAN WYNN-STELT (MA LLP BCBA) a real provider?

This page reflects official NPPES data for NPI 1033398581. Always confirm identity and privileges with the practice and licensing boards.