NPI Details
RIVERS EDGE PSYCHOLOGICAL SERVICES PC is a psychologist in Maybee, MI. The provider is 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. RIVERS EDGE PSYCHOLOGICAL SERVICES PC NPI is 1669065421. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Former Legal Business Name Is Rivers Edge Psychological Services Pc.
The provider's business location address is:
12240 OELKE RD
MAYBEE, MI
ZIP 48159-779
Phone: (734) 642-8803
The provider's authorized official is Stefanie Gill Scalcucci .
The authorized official title is Psychologist and has the following contact phone number (734) 642-8803.
The enumeration date for this NPI number is 2/12/2021 and was last updated on 12/8/2021.
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 | 103T00000X | Psychologist | | | | 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 | VS0190006 | MEDICAID | MICHIGAN | |
