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Deactivated NPI 1285884080 Deactivated / Inactive NPI Male Practitioner

Dr. Kirk L Brink , PhD

Psychologist • Ada, MI

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Kirk Brink has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 29, 2008
NPI Deactivation Date January 29, 2026
Total Practice Duration ~18 Years of Practice (2008 – 2026)

Professional Overview & Biography Verified Profile Summary

Dr. Kirk Brink, PhD was a registered Psychologist practicing in Ada, MI. Throughout an active medical career spanning 18 years, Dr. Brink provided care at the practice location at 983 SPAULDING AVE SE until profile deactivation on 2026-01-29.

Practice Location & Contact Primary Location

Practice Address

983 Spaulding Ave Se

Ada, MI 493013701

Telephone 6169429000
Fax 6169420008
Associated Practice Facility / Clinic
🏢 Selah Counseling Llc Facility NPI 1003344128

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Ada, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 35.7 Yrs
State Avg: 26.4 Yrs
Regional Practice Density
11 Specialists

Practicing in Ada, MI (2669 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License MI 6301001773

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Dr. Michael Ryan , PhD

Psychologist - Clinical

NPI 1215058953

Doctor of Philosophy (Ph.D.)

Mary Bennett , MA, LCSW

Social Worker - Clinical

NPI 1265768097

Master of Arts, Licensed Clinical Social Worker

Dr. Sheila Mccormack , PhD

Psychologist - Clinical

NPI 1770739997

Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated January 29, 2026

Record deactivated on January 29, 2026

NPI Profile Active September 29, 2008

NPI status registered as active in NPPES database

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Updated Practice Location September 29, 2008

Registered at 983 SPAULDING AVE SE, ADA, MI 493013701 (Tel: 6169429000)

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Updated Business Mailing Address September 29, 2008

Registered at 983 SPAULDING AVE SE, ADA, MI 493013701 (Tel: 6169429000)

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Provider Name / Credentials Updated September 29, 2008

Recorded as KIRK BRINK, PH.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 29, 2008

Psychologist (License #6301001773 in MI)

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Initial NPI Registration & Enumeration September 29, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1285884080
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 29, 2008
Last Update: September 29, 2008
Deactivation Date: January 29, 2026

Mailing Address

983 Spaulding Ave Se

Ada, MI 493013701

Phone: 6169429000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.