LIST PSYCHOLOGICAL SERVICES, PLC (NPI# 1942581285) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942581285 |
| Entity Type | Organization |
| Organization Name | LIST PSYCHOLOGICAL SERVICES, PLC |
| Practice Address |
7484 W Michigan Ave Suite C Pigeon MI 48755-5200 |
| Mailing Address |
443 N State St Caro MI 48723-1539 |
| Practice Telephone | 9894533051 |
| Practice Fax Number | 9894533052 |
| Mailing Telephone | 9896726160 |
| Mailing Fax Number | 9896725649 |
| Enumeration Date | 2011-08-31 |
| Last Update Date | 2015-08-19 |
| Authorized Official Name | JACQUELINE THOMPSON (COO) |
| Authorized Official Telephone | 9896726160 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| N | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers | ||
| N | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | VALUE OPTIONS | 034530 | 01 |
| MI | BCBS PIN | 750910784 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306896956 | List Psychological Services, Plc | Clinic/Center | 624 W Nepessing St, Suite 300, Lapeer, MI 48446-2090 | 2006-05-12 |
| 1154894673 | List Psychological Services, Plc | Counselor | 110 E Huron Ave, Bad Axe, MI 48413-1312 | 2019-01-08 |
| 1265685903 | List Psychological Services, Plc | Counselor | 467 N State St, Caro, MI 48723-1539 | 2008-10-28 |
| 1336176031 | List Psychological Services, Plc | Counselor | 443 N State St, Caro, MI 48723-1539 | 2006-06-27 |
| 1598718439 | List Psychological Services, Plc | Counselor | 3070 Kabobel Dr, Suite 2, Saginaw, MI 48604-2502 | 2006-05-19 |
| 1871543421 | List Psychological Services, Plc | Counselor | 3720 Wilder Rd, Unit B, Bay City, MI 48706-2482 | 2006-05-12 |
| 1902856446 | List Psychological Services, Plc | Psychiatry & Neurology | 5024 N Center Rd, Saginaw, MI 48604-9412 | 2006-05-12 |
| 1306896030 | List Psychological Services, Plc | Counselor | 126 Washington Ave, Bay City, MI 48708-5846 | 2006-05-11 |
| 1881644789 | List Psychological Services, Plc | Counselor | 651 N State St, Caro, MI 48723-1543 | 2006-05-11 |
| Street Address |
7484 W MICHIGAN AVE SUITE C |
| City | PIGEON |
| State | MI |
| Zip Code | 48755-5200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619960150 | Medical Enterprises, Inc. | Optometrist | 7484 W Michigan Ave, Pigeon, MI 48755-5200 | 2005-08-30 |
| 1891220240 | Patricia Smith | Social Worker | 7484 W Michigan Ave, Pigeon, MI 48755-5200 | 2017-04-24 |
| 1174991830 | Jenna Shaw | Counselor | 7484 W Michigan Ave, Suite C, Pigeon, MI 48755-5200 | 2015-09-10 |
| 1609270347 | Matthew David Ensing | Psychologist | 7484 W Michigan Ave, Suite 300, Pigeon, MI 48755-5200 | 2014-10-09 |
| 1821351420 | Holly Wasierski | Social Worker | 7484 W Michigan Ave, Suite C, Pigeon, MI 48755-5200 | 2012-06-19 |
| 1679618946 | Douglas Arthur Buehler | Optometrist | 7484 W Michigan Ave, Pigeon, MI 48755-5200 | 2007-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124673215 | Stefanee Dziwirski | Nurse Practitioner | 7811 Port Austin Rd, Pigeon, MI 48755 | 2019-08-06 |
| 1396244364 | Kerry Rastigue | Social Worker | 7484 W. Michigan Avenue Suite C, Pigeon, MI 48755 | 2018-02-06 |
| 1366873648 | H & J Corp. | Foster Care Agency | 90 Rollie Smith Dr, Pigeon, MI 48755 | 2013-12-11 |
| 1013049733 | Wayne J Keim | Social Worker | 7575 W Pigeon Rd, Pigeon, MI 48755 | 2007-03-09 |
| 1326170143 | Medical Enterprises, Inc. | Optometrist | 7297 W Michigan Ave, Pigeon, MI 48755 | 2007-03-09 |
| 1689754434 | Seasons Change Home Health Care, Inc. | Home Health | 8201 Port Austin Rd., Pigeon, MI 48755 | 2006-10-16 |
| 1689770034 | Roxane Marian Osantowski | Occupational Therapist | 8977 Pte. Charities, Pigeon, MI 48755 | 2006-09-15 |
| 1508897190 | Craig Richard Tetreau | Pharmacist | 168 N. Caseville Rd, Pigeon, MI 48755 | 2006-07-05 |
| 1528047263 | Scott E Redwantz | Dentist | 6982 Main St, Caseville, MI 48755 | 2006-01-11 |
| 1760596407 | Frederick W Orr | Pharmacist | 26 S Main St, Pigeon, MI 48755 | 2006-08-19 |
| Find all providers in zip 48755 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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| Find all providers with the same taxonomy | ||||
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| 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.