Dr Trisha Nichole Tanis, PHD - Psychologist in Grandville, MI

Dr Trisha Nichole Tanis, PHD is a Psychologist - Clinical based in Grandville, Michigan. Dr Trisha Nichole Tanis is licensed to practice in Michigan (license number 6301019380) and her current practice location is 4565 Wilson Ave Sw Ste 4a, Grandville, Michigan. She can be reached at her office (for appointments etc.) via phone at (616) 591-9400.

NPI number for Dr Trisha Nichole Tanis is 1063016046 and her current mailing address is 4704 36th St Sw, Grandville, Michigan. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1063016046.

Contact Information

Dr Trisha Nichole Tanis, PHD
4565 Wilson Ave Sw Ste 4a,
Grandville, MI 49418-2371
(616) 591-9400
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Trisha Nichole Tanis
GenderFemale
SpecialityPsychologist - Clinical
Location4565 Wilson Ave Sw Ste 4a, Grandville, Michigan
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1063016046
  • Provider Enumeration Date: 11/30/2020
  • Last Update Date: 10/13/2023

Medical Identifiers

Medical identifiers for Dr Trisha Nichole Tanis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063016046NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 6301019380 (Michigan)Primary
103TC0700XPsychologist - Clinical 6351004500 (Michigan)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Trisha Nichole Tanis is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Trisha Nichole Tanis, PHD
4704 36th St Sw,
Grandville, MI 49418-2254

Ph: () -
Dr Trisha Nichole Tanis, PHD
4565 Wilson Ave Sw Ste 4a,
Grandville, MI 49418-2371

Ph: (616) 591-9400

Reviews and Comments


Psychologist in Grandville, MI

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