DR. JACOBUS AM DONDERS (PHD) – Rehabilitation Psychologist, NPI 1740246339
Rehabilitation Psychologist
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Profile Insights
NPPES metrics only — not quality of care.
1,216 CLINICAL PSYCHOLOGIST in MI
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Provider Addresses for DR. JACOBUS AM DONDERS (PHD)
Mary Free Bed Rehabilitation Center, 235, Wealthy Street Southeast, Third Ward, Grand Rapids, Kent County, Michigan, 49503, United States
GRAND RAPIDS, MI 49503
Phone: (616) 242-9201
Fax: (616) 451-9513
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)
No Open Payments data available for this provider.
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2009-07-29
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20090729000150 | I | Clinical Psychologist | MI | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 96139 | Administration of psychological or neuropsychological test by technician, each additional 30 minutes | 294 | 54 | $0 |
| 96116 | Exam of neurobehavioral status, first hour | 76 | 73 | $0 |
| 96132 | Evaluation of neuropsychological test, first hour | 56 | 55 | $0 |
| 96138 | Administration of psychological or neuropsychological test by technician, first 30 minutes | 55 | 54 | $0 |
| 90832 | Psychotherapy, 30 minutes | 53 | 27 | $0 |
Insurance plans in this area (ZIP 49503)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | MI | |
| Physical Therapist In Private Practice | OK | |
| Physical Medicine And Rehabilitation | MI | |
| Physical Medicine And Rehabilitation | MI | |
| Physical Therapist In Private Practice | MI | |
| Physical Medicine And Rehabilitation | MI | |
| - | MI | |
| Physical Medicine And Rehabilitation | MI | |
| Physical Therapist In Private Practice | MI | |
| - | MI |
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