LIFE SKILLS PSYCHOLOGICAL SERVICES (NPI# 1053760231) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053760231 |
| Entity Type | Organization |
| Organization Name | LIFE SKILLS PSYCHOLOGICAL SERVICES |
| Practice Address |
805 S Carmel St Cadillac MI 49601-2344 |
| Practice Telephone | 2317756517 |
| Enumeration Date | 2016-06-08 |
| Last Update Date | 2016-06-08 |
| Authorized Official Name | PROF. NANCY DILLOWAY (BILLING SPECIALIST) |
| Authorized Official Telephone | 2317756517 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 6301016675 | MI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | MICHIGAN TEMPORARY LIMITED LICENSE MASTER'S | 6301016675 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497299200 | Life Skills Psychological Services | Social Worker | 805 S Carmel St, Cadillac, MI 49601-2344 | 2016-12-13 |
| 1225572035 | Life Skills Psychological Services | Counselor | 805 S Carmel St, Cadillac, MI 49601-2344 | 2016-12-13 |
| Street Address |
805 S CARMEL ST |
| City | CADILLAC |
| State | MI |
| Zip Code | 49601-2344 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710952007 | James R. Findley | Psychologist | 805 S Carmel St, Cadillac, MI 49601-2344 | 2006-02-21 |
| 1417572181 | Amy Jo Bruno | Psychologist | 805 S Carmel St, Cadillac, MI 49601-2344 | 2020-06-09 |
| 1912526906 | Danette Crozier | Social Worker | 805 S Carmel St, Cadillac, MI 49601-2344 | 2020-04-10 |
| 1770136160 | Jessica Rames-lapointe | Psychologist | 805 S Carmel St, Cadillac, MI 49601-2344 | 2019-07-24 |
| 1194208587 | Saige M Twombly | Psychologist | 805 S Carmel St, Cadillac, MI 49601-2344 | 2018-09-11 |
| 1497299200 | Life Skills Psychological Services | Social Worker | 805 S Carmel St, Cadillac, MI 49601-2344 | 2016-12-13 |
| 1225572035 | Life Skills Psychological Services | Counselor | 805 S Carmel St, Cadillac, MI 49601-2344 | 2016-12-13 |
| 1093170094 | Milinda Kaye Cuddeback | Counselor | 805 S Carmel St, Cadillac, MI 49601-2344 | 2015-12-18 |
| 1952738536 | Tori Lee Osborn | Psychologist | 805 S Carmel St, Cadillac, MI 49601-2344 | 2013-09-27 |
| 1023363199 | Sydnie Kim Simmons | Psychologist | 805 S Carmel St, Cadillac, MI 49601-2344 | 2012-07-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720691983 | Hailey Amlott | Pharmacist | Walgreens 07660, 1220 N. Mitchell Street, Cadillac, MI 49601 | 2020-08-27 |
| 1558901454 | Diane Lyn Stearns | Physical Therapy Assistant | Samaritas Senior Living, 460 Pearl Street, Cadillac, MI 49601 | 2020-01-09 |
| 1902363013 | Marcella Marie Metzger | Pharmacist | 520 Cobb Street, Cadillac, MI 49601 | 2019-02-25 |
| 1558864447 | Tricia Wing | Physical Therapist | 704 Oak Street, Cadillac, MI 49601 | 2018-03-16 |
| 1386174134 | Marjorie Middel | Social Worker | 1909 N. Mitchell Street, Aleda E. Lutz Veterans Affairs Medical Center Cadillac, Cadillac, MI 49601 | 2017-06-14 |
| 1841726171 | T & M Helping Hand | Home Health | 325 Howard St, Cadillac, MI 49601 | 2017-05-05 |
| 1841731486 | Vicki Lynne Schutte | Behavior Technician | 7716 S. 27 Rd, Cadillac, MI 49601 | 2017-03-15 |
| 1518407220 | Rosanne Marie Denny | Behavior Technician | 605 Cadillac Shores Dr #106, Cadillac, MI 49601 | 2017-02-28 |
| 1821495532 | James David Shadoan | Family Medicine | 133 N. Shore Dr E., Cadillac, MI 49601 | 2014-11-24 |
| 1841632007 | Serenity Adult Foster Care Home LLC | Foster Care Agency | 2883 S. 41 Rd., Cadillac, MI 49601 | 2013-07-29 |
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| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265046098 | Axon Psychology Group, PC | Clinical Neuropsychologist | 1377 Stonecreek Ct, Saint Joseph, MI 49085-9795 | 2020-08-31 |
| 1548814965 | Emily Nicole Robinett-ferrara | Clinical Neuropsychologist | 14050 Kingston St, Oak Park, MI 48237-1140 | 2019-07-25 |
| 1649782244 | Matthew Kadrich | Clinical Neuropsychologist | 3334 Rochester Rd # 205, Troy, MI 48083-5426 | 2017-11-04 |
| 1992237176 | Lauren Marie Golla | Clinical Neuropsychologist | 111 E Court St Ste 1b, Flint, MI 48502-1649 | 2017-03-28 |
| 1750839783 | Ace Psychological Consultants LLC | Clinical Neuropsychologist | 1920 Livernois Rd Ste D, Troy, MI 48083-1770 | 2016-09-20 |
| 1922556406 | Kenya Hameed | Clinical Neuropsychologist | 111 East Court St, Suite 1b-1, Flint, MI 48502 | 2016-09-14 |
| 1841609369 | Crystal Young | Clinical Neuropsychologist | 1550 E Beltline Ave Se, Suite 340, Grand Rapids, MI 49506-4301 | 2014-08-08 |
| 1497165146 | Woojin Song | Clinical Neuropsychologist | 2101 Commonwealth Blvd Ste C, Ann Arbor, MI 48105-2969 | 2014-05-03 |
| 1831516152 | Ira Lourie, Psy.d., Pllc | Clinical Neuropsychologist | 30051 High Valley Rd, Farmington Hills, MI 48331-2144 | 2014-03-25 |
| 1306272042 | Erin Mark | Clinical Neuropsychologist | 2010 Hogback Rd Ste 6g, Ann Arbor, MI 48105-8800 | 2013-09-25 |
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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.