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Individual Healthcare Provider

Sandra Jean Wynn-Stelt, MA LLP BCBA

NPI Record: ActivePsychologist — Intellectual & Developmental Disabilities
NPI1033398581
Grand Rapids, Michigan

Provider's NPPES record last updated: April 17, 2020

Overview

Entity Type
Individual Healthcare Provider
NPI
1033398581
Primary Specialty
Psychologist — Intellectual & Developmental Disabilities
Practice Location
Grand Rapids, Michigan
Sole Proprietor
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 17, 2026, 10:51 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Psychologist

    Intellectual & Developmental Disabilities

    Behavioral Health & Social Service Providers

    Primary

    Definition to come...

    Taxonomy code 103TM1800X
  • Behavior Analyst

    Behavioral Health & Social Service Providers

    A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

    Taxonomy code 103K00000X
  • Psychologist

    Cognitive & Behavioral

    Behavioral Health & Social Service Providers

    A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking.

    Taxonomy code 103TB0200X

Provider-Reported License Information

Psychologist (Michigan)
6301008405
Behavior Analyst (Michigan)
1-14-15612
Psychologist (Michigan)
6301008405
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

680 3 Mile Rd Nw

Suite C

Grand Rapids, Michigan 49544-8218

Phone: (616) 647-3460

Record Information

Enumeration Date
November 1, 2007
Provider's NPPES Record Last Updated
April 17, 2020
Certification Date
April 17, 2020
NPISignal NPPES Dataset
August 2026

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