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LIST PSYCHOLOGICAL SERVICES PLC NPI 1902856446


NPI Information

NPI: 1902856446
Provider Name: LIST PSYCHOLOGICAL SERVICES, PLC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
5024 N CENTER RD
SAGINAW, MI
ZIP 48604
Phone: (989) 790-3130
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LIST PSYCHOLOGICAL SERVICES, PLC is a mental health (including community mental health center) clinic center in Saginaw, MI. LIST PSYCHOLOGICAL SERVICES, PLC NPI is 1902856446. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5024 N CENTER RD
SAGINAW, MI
ZIP 48604-412
Phone: (989) 790-3130
Fax: (989) 790-3139

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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084P0800XPsychiatry & NeurologyPsychiatryNo
2101Y00000XCounselorNo
3101YA0400XCounselorAddiction (Substance Use Disorder)No
4101YM0800XCounselorMental HealthNo
5103T00000XPsychologistNo
6103TC0700XPsychologistClinicalNo
7104100000XSocial WorkerNo
81041C0700XSocial WorkerClinicalNo
9101YP2500XCounselorProfessionalNo
102084A0401XPsychiatry & NeurologyAddiction MedicineNo
11261QM0801XClinic/CenterMental 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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10G96288MEDICARE UPINMICHIGAN
2034530OTHERMICHIGANVALUE OPTIONS
30D41044OTHERMICHIGANBCBS PSYCHIATRIST
40M38660MEDICARE UPINMICHIGAN
51006309OTHERMICHIGANMCLAREN HEALTH ADVANTAGE
6750910576OTHERMICHIGANBCBS OF 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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.