MERIDIAN PROFESSIONAL PSYCHOLOGICAL CONSULTANTS (NPI# 1225150139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225150139 |
| Entity Type | Organization |
| Organization Name | MERIDIAN PROFESSIONAL PSYCHOLOGICAL CONSULTANTS |
| Practice Address |
5031 Park Lake Road East Lansing MI 48823-3835 |
| Practice Telephone | 5173320811 |
| Practice Fax Number | 5173324452 |
| Mailing Telephone | 5173320811 |
| Mailing Fax Number | 5173324452 |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. BARBARA ANN GUNNINGS (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 5173320811 |
| Authorized Official Credential | PHD LAC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
MI | Allopathic & Osteopathic Physicians | |
| X | 324500000X | Substance Abuse Rehabilitation Facility | 330070 | MI | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VALUE OPTIONS | 037146 | 01 | |
| BLUE CROSS SUB ABUSE | 20486 | 01 | |
| MI | 3276326 | 05 | |
| MI | CORPORATION | 248226 | 01 |
| Street Address |
5031 PARK LAKE ROAD |
| City | EAST LANSING |
| State | MI |
| Zip Code | 48823-3835 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386764694 | Eugene Pernell Jr. | Psychologist | 5031 Park Lake Road, Meridian Professional Psychological Consultants, East Lansing, MI 48823-3835 | 2007-03-30 |
| 1730309550 | Sonya Renita Gunnings | Psychologist | 5031 Park Lake Road, Meridian Professional Psychological Consultants PC, East Lansing, MA 48823-3835 | 2007-04-26 |
| 1417079302 | Cyrus Shephard Stewart | Social Worker | 5031 Park Lake Road, Meridian Professional Psychological Consultants, East Lansing, MI 48823-3835 | 2007-04-04 |
| 1992827513 | Joseph Lodge Webster Jr. | Social Worker | 5031 Park Lake Road, East Lansing, MI 48823 | 2007-04-04 |
| 1831219104 | Alan John Kreutzberg | Social Worker | 5031 Park Lake Road, Meridian Professional Psychological Consultants PC, East Lansing, MI 48823 | 2007-03-30 |
| 1790805067 | Zhigniew Jerry Tyskiewicz | Social Worker | 5031 Park Lake Road, Meridian Professional Psychological Consultants, East Lansing, MI 48823-3835 | 2007-03-30 |
| 1689794950 | Carrie Alice Denbow | Social Worker | 5031 Park Lake Road, East Lansing, MI 48823 | 2007-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144848631 | Joseph Santangelo | Technician | 2775 E Lansing Dr, East Lansing, MI 48823 | 2020-07-10 |
| 1679197701 | Alexandra Megan Bauer | Technician | 3839 Hunsaker Street, 121, East Lansing, MI 48823 | 2020-06-04 |
| 1689297756 | Nathan Barnhurst | Neuromusculoskeletal Medicine & OMM | 4660 Hagadorn Rd #500, East Lansing, MI 48823 | 2020-05-25 |
| 1861036006 | Rachel Amber Kelly | Registered Nurse | 221 W Lake Rd, #300, East Lansing, MI 48823 | 2019-10-31 |
| 1982176442 | Thomas Patrick Lilley | Occupational Therapist | 2900 Hannah Blvd. - Suite B102, East Lansing, MI 48823 | 2018-12-21 |
| 1386114684 | Anne Colleen Jack | Social Worker | 3100 West Road, East Lansing, MI 48823 | 2018-11-29 |
| 1346721420 | Mary Ann Malosh | Health Educator | 6265 Fenwick Ct, East Lansing, MI 48823 | 2018-08-27 |
| 1639668734 | Jennifer Lynn Box | Occupational Therapist | 2900 Hannah Blvd Ste. B102, Outpatient Rehab, East Lansing, MI 48823 | 2018-05-03 |
| 1598267288 | Wise Willow Counseling & Consulting LLC | Social Worker | 2875 Northwind Dr Ste 215, East Lansing, MI 48823 | 2018-03-08 |
| 1184142010 | Carlrianna Taylor | Technician | 2775 E Lansing Rd, E Lansing, MI 48823 | 2017-08-30 |
| Find all providers in zip 48823 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528680303 | Emilia Elizabeth Mattioli | Psychiatry & Neurology | 965 Fee Road Room A223, East Lansing, MI 48824 | 2020-05-14 |
| 1447871983 | James O'brien | Psychiatry & Neurology | Msu Psychiatry Residency Program, 965 Fee Road, Room A233, East Lansing, MI 48824 | 2020-05-06 |
| 1821659301 | Tovah Apolonia Aho | Psychiatry & Neurology | Michigan State University Psychiatric Residency, 965 Fee Road, Room A233, East Lansing, MI 48824 | 2019-06-25 |
| 1912564881 | Asmara Theresa Hoo | Psychiatry & Neurology | 965 Fee Road, Room A233, East Lansing, MI 48824 | 2019-05-24 |
| 1508423534 | Andre Jonsson | Psychiatry & Neurology | 965 Wilson Rd Rm A233, East Lansing, MI 48824-6410 | 2019-05-24 |
| 1598250698 | Angela Elaine Smedo | Psychiatry & Neurology | 965 Fee Rd Rm 233, East Lansing, MI 48824-6410 | 2018-06-30 |
| 1326539776 | Jacob Robert Aubry | Psychiatry & Neurology | 965 Fee Rd Rm 233a, East Lansing, MI 48824-6410 | 2018-05-22 |
| 1659889673 | Upper Great Lakes Family Health Center | Psychiatry & Neurology | 965 Fee Rd Rm A229, East Lansing, MI 48824-6410 | 2018-01-11 |
| 1982139325 | Hien Nguyen | Psychiatry & Neurology | 965 Fee Rd # A233, East Lansing, MI 48824-6410 | 2017-04-24 |
| 1740627330 | Nicole Albrecht Dawis | Psychiatry & Neurology | 965 Fee Rd Rm A233, East Lansing, MI 48824-6580 | 2013-05-23 |
| Find all providers in EAST LANSING | ||||
| City | EAST LANSING |
| Zip Code | 48823 |
Please comment or provide details below to improve the information on MERIDIAN PROFESSIONAL PSYCHOLOGICAL CONSULTANTS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.