LIST PSYCHOLOGICAL SERVICES PLC NPI 1871543421

NPI Information

NPI: 1871543421
Provider Name: LIST PSYCHOLOGICAL SERVICES, PLC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
3720 WILDER RD
UNIT B
BAY CITY, MI
ZIP 48706
Phone: (989) 460-1000
Get Directions

LIST PSYCHOLOGICAL SERVICES, PLC is a mental health (including community mental health center) clinic center in Bay City, MI. LIST PSYCHOLOGICAL SERVICES, PLC NPI is 1871543421. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3720 WILDER RD
UNIT B
BAY CITY, MI
ZIP 48706-482
Phone: (989) 460-1000
Fax: (989) 460-1003

The provider's authorized official is Jacqueline Thompson .
The authorized official title is Coo and has the following contact phone number (989) 672-6160.

The enumeration date for this NPI number is 5/12/2006 and was last updated on 8/19/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	101Y00000X	Counselor		No
2	101YM0800X	Counselor	Mental Health	No
3	101YA0400X	Counselor	Addiction (Substance Use Disorder)	No
4	103T00000X	Psychologist		No
5	103TC0700X	Psychologist	Clinical	No
6	104100000X	Social Worker		No
7	1041C0700X	Social Worker	Clinical	No
8	2084P0800X	Psychiatry & Neurology	Psychiatry	No
9	101YP2500X	Counselor	Professional	No
10	2084A0401X	Psychiatry & Neurology	Addiction Medicine	No
11	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1006309	OTHER	MICHIGAN	MCLAREN HEALTH PLAN
2	0M38660	MEDICARE UPIN	MICHIGAN
3	034530	OTHER	MICHIGAN	VALUE OPTIONS
4	0D41044	OTHER	MICHIGAN	BCBS PSYCHIATRIST
5	750910448	OTHER	MICHIGAN	BCBS OF MICHIGAN
6	0G96288	MEDICARE UPIN	MICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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