GERIATRIC PSYCHIATRIC SERVICES PLLC NPI 1467492173

NPI Information

NPI: 1467492173
Provider Name: GERIATRIC PSYCHIATRIC SERVICES PLLC
Classification: Psychologist - 103TA0700X
Specialization: Adult Development & Aging
Entity Type: Organization
Address: 1715 INDIAN WOOD CIR STE 200
MAUMEE, OH
ZIP 43537
Phone: (877) 906-9699

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NPI Details

GERIATRIC PSYCHIATRIC SERVICES PLLC is an adult development and aging psychologist in Maumee, OH. The provider is a psychologist who specializes in geropsychology, which applies the knowledge and methods of psychology to understanding and helping older persons and their families to maintain well-being, overcome problems and achieve maximum potential during later life. Professional geropsychology appreciates the wide diversity among older adults, the complex ethical issues that can arise in geriatric practice and the importance of interdisciplinary models of care. GERIATRIC PSYCHIATRIC SERVICES PLLC NPI is 1467492173. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1715 INDIAN WOOD CIR STE 200
MAUMEE, OH
ZIP 43537-055
Phone: (877) 906-9699

The provider's authorized official is Robert A Clemente .
The authorized official title is Manager and has the following contact phone number (586) 620-8100.

The enumeration date for this NPI number is 6/8/2006 and was last updated on 7/1/2025.

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	License Number	License State	Primary
1	103TA0700X	Psychologist	Adult Development & Aging			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	260F340040	OTHER	MICHIGAN	BCBS PHYSICIAN GROUP

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: 11/21/2025

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