Provider Demographics
NPI:1366910390
Name:ZHENG, JOSHUA YAO (MS)
Entity type:Individual
Prefix:
First Name:JOSHUA
Middle Name:YAO
Last Name:ZHENG
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2880 LINCOLNSHIRE LN SE
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49546-7166
Mailing Address - Country:US
Mailing Address - Phone:518-217-8159
Mailing Address - Fax:616-328-6591
Practice Address - Street 1:2880 LINCOLNSHIRE LN SE
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49546-7166
Practice Address - Country:US
Practice Address - Phone:518-217-8159
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-07
Last Update Date:2025-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171M00000X
MI6401223818101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No171M00000XOther Service ProvidersCase Manager/Care Coordinator