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PROFESSIONAL PSYCHOLOGICAL & REHABILITATION SERVICES NPI 1972625424


NPI Information

NPI: 1972625424
Provider Name: PROFESSIONAL PSYCHOLOGICAL & REHABILITATION SERVICES
Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

Address:
3815 W ST JOSEPH HWY, SUITE A101
LANSING, MI
ZIP 48917
Phone: (517) 321-5900
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PROFESSIONAL PSYCHOLOGICAL & REHABILITATION SERVICES is a clinical psychologist in Lansing, MI. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. PROFESSIONAL PSYCHOLOGICAL & REHABILITATION SERVICES NPI is 1972625424. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3815 W ST JOSEPH HWY, SUITE A101
LANSING, MI
ZIP 48917
Phone: (517) 321-5900
Fax: (517) 321-5945

The provider's authorized official is Hilton T Thomas .
The authorized official title is Executive Director and has the following contact phone number (517) 321-5900.

The enumeration date for this NPI number is 4/4/2007 and was last updated on 10/17/2017.


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
11041C0700XSocial WorkerClinical6801063438MICHIGANNo
2103TC0700XPsychologistClinical6301003971MICHIGANYes

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
1OC34604MEDICAIDMICHIGAN

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

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