MICHIGAN PSYCHIATRIC & PRIMARY CARE CLINIC PC NPI 1295383909

NPI Information

NPI: 1295383909
Provider Name: MICHIGAN PSYCHIATRIC & PRIMARY CARE CLINIC, PC
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
CLIA Number: 23D2235797
Address: 702 W LAKE LANSING RD
EAST LANSING, MI
ZIP 48823
Phone: (517) 332-5342

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NPI Details

MICHIGAN PSYCHIATRIC & PRIMARY CARE CLINIC, PC is a clinic center in East Lansing, MI. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). MICHIGAN PSYCHIATRIC & PRIMARY CARE CLINIC, PC NPI is 1295383909. The provider is registered as an organization entity type.

The provider's business location address is:

702 W LAKE LANSING RD
EAST LANSING, MI
ZIP 48823-526
Phone: (517) 332-5342

The provider's authorized official is Tham N Doan .
The authorized official title is Manager and has the following contact phone number (517) 332-5342.

The CLIA number assigned to this NPI record is 23D2235797 - practitioner other with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 8/27/2019 and was last updated on 1/3/2024.

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	261QM0850X	Clinic/Center	Adult Mental Health	No
2	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	No
3	261QP2300X	Clinic/Center	Primary Care	No
4	261Q00000X	Clinic/Center		Yes

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: 3/30/2025

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