MELISSA ANN VANORMAN (PSY.D.) – Psychologist, NPI 1790790517

MELISSA ANN VANORMAN (PSY.D.) is a healthcare provider. based in Grand rapids, Michigan. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSY.D.. They hold a License No. 6301011076 (MI). The NPI Number for MELISSA ANN VANORMAN (PSY.D.) is 1790790517

Main info

Female
28 Years Of Experience
Accepts Medicare Assignment
Name
MELISSA ANN VANORMAN (PSY.D.)
NPI
1790790517
Phone
(616) 455-5000
Address
300 68TH ST SE
Enumeration Date
30 July 2006
Last Update Date
9 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6164555000
Graduation Year
1998 (28 years ago)
PAC ID
2365637543
Group Practice PAC ID
4981506508
Professional Enrollment ID
I20101112001148
Address ID
MI495486927GR300XXSEXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,216 CLINICAL PSYCHOLOGIST in MI

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Provider Addresses for MELISSA ANN VANORMAN (PSY.D.)

  • Pine Rest Christian Mental Health Services, 300, 68th Street Southeast, Grand Rapids, Gaines Township, Kent County, Michigan, 49501, United States

    GRAND RAPIDS, MI 495486927

    Phone: (616) 455-5000

    Type: Mailing

  • Spectrum Health Zeeland Community Hospital, 8333, Felch Street, Zeeland Charter Township, Ottawa County, Michigan, 49464, United States

    ZEELAND, MI 494641698

    Phone: (616) 741-3790

    Type: Location

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.

This can happen when there are no reportable CMS Open Payments records.

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: 2010-11-12

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20101112001148IClinical PsychologistMITBD

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.

Verify on CMS Revalidation Lookup Tool

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.

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

Insurance plans in this area (ZIP 49548)

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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: 4981506508View full group profile
NameSpecialtyState
Clinical Social WorkerMI
Clinical Social WorkerIA
P S Y C H I A T R YMI
Clinical PsychologistMI
-MI
Mental Health CounselorMI
Clinical Social WorkerNY
Clinical Social WorkerMI
Clinical PsychologistMI
Clinical Social WorkerMI

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Frequently asked questions

How do I look up MELISSA ANN VANORMAN (PSY.D.) by NPI?
Use NPI 1790790517 when you need to reference MELISSA ANN VANORMAN (PSY.D.) in forms, claims, or directories.
Is MELISSA ANN VANORMAN (PSY.D.) active in the national directory?
MELISSA ANN VANORMAN (PSY.D.)'s public NPI profile is in an active state.
What does MELISSA ANN VANORMAN (PSY.D.) treat or focus on?
Patients typically see MELISSA ANN VANORMAN (PSY.D.) under the specialty Psychologist. Clinical services aligned with this taxonomy classification.
What location metadata exists for MELISSA ANN VANORMAN (PSY.D.)?
The page summarizes Grand Rapids, Michigan for MELISSA ANN VANORMAN (PSY.D.); expand the address list for detail.
Is MELISSA ANN VANORMAN (PSY.D.) a real provider?
This page reflects official NPPES data for NPI 1790790517. Always confirm identity and privileges with the practice and licensing boards.

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