PSYCHOLOGICAL AND CONSULTATION SERVICES PC


Address: 4123 Okemos Rd Ste 15, Okemos, MI 48864-2818
Phone: 5173367366

PSYCHOLOGICAL AND CONSULTATION SERVICES PC (NPI# 1407910854) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1407910854
Entity Type Organization
Organization Name PSYCHOLOGICAL AND CONSULTATION SERVICES PC
Practice Address 4123 Okemos Rd Ste 15
Okemos
MI 48864-2818
Mailing Address Po Box 4455
East Lansing
MI 48826-4455
Practice Telephone 5173367366
Practice Fax Number 5173360808
Mailing Telephone 5173367366
Mailing Fax Number 5173360808
Enumeration Date 2006-12-20
Last Update Date 2020-07-06
Authorized Official Name DR. PRISCILLA WADE (LICENSED PSYCHOLOGIST, PRESIDENT)
Authorized Official Telephone 5173367366
Authorized Official Credential PH.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MI PHYSICIAN HEALTH PLAN 200000006054 01
MI PARAIRIE STATES ENTERPRISES INC 1871650291 01
MI BCBSM 68OC346780 01
MI B;UE CROSS TRUST 11291411 01
MI BANKER'S FIDELITY LIFE INSURANCE 1871650291 01
MI TRICARE 1871650291 01
MI COFINITY 1871650291 01
MI PRIORITY HEALTH 900080140 01
MI UNITED HEALTHCARE 1871650291 01
MI BEACON HEALTH OPTIONS INC A185414 01
MI MCLAREN R1016708 01

Office Location

Street Address 4123 OKEMOS RD STE 15
City OKEMOS
State MI
Zip Code 48864-2818

Providers in the same location

NPI Name Taxonomy Address Enumeration
1710525704 Brittany King Social Worker 4123 Okemos Rd Ste 15, Okemos, MI 48864-2818 2019-12-20
1104463462 Domonika Sharee Cope Social Worker 4123 Okemos Rd Ste 15, Okemos, MI 48864-2818 2019-12-05
1992264931 Elizabeth Marie Allen Social Worker 4123 Okemos Rd Ste 15, Okemos, MI 48864-2818 2019-03-19
1508382367 Better Health Therapy Center LLC Social Worker 4123 Okemos Rd Ste 15, Okemos, MI 48864-2818 2017-08-14
1336416197 John Patrick Coleman Counselor 4123 Okemos Rd Ste 15, Okemos, MI 48864-2818 2011-11-22
1871650291 Priscilla Wade Psychologist 4123 Okemos Rd Ste 15, Okemos, MI 48864-2818 2007-01-03

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1972066348 Jan J Stokosa Prosthetic/Orthotic Supplier 2145 University Park Drive, Suite 100, Okemos, MI 48864 2019-04-11
1194284067 Bryan R Salminen Counselor 2127 University Drive Suite 300, Okemos, MI 48864 2019-03-19
1639678600 Paula Veronica Yevilaf Neira Behavior Technician 3887 Okemos Rd Suite A1, Okemos, MI 48864 2018-02-06
1306364690 Sally Ann Purdy Social Worker 3493 Woods Edge Dr., Suite #103, Okemos, MI 48864 2017-09-06
1952824609 Victoria Marie Hopper Behavior Technician 3887 Okemos Rd., Suite #a1, Okemos, MI 48864 2017-07-24
1134653306 Kayleigh Delaney Dietitian, Registered 5050 Marsh Road, Suite 5, Okemos, MI 48864 2017-04-14
1922544402 Elsabeth Engeda Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 4464 Hickory Drive, Okemos, MI 48864 2017-01-09
1104373752 Joslyn Fraidenburg Registered Nurse 2322 Knod Hill Dr, Apt 14, Okemos, MI 48864 2016-09-01
1851748966 Doug Derdowski Social Worker 4123 Okemos Road, Eastbrook Plaza, Okemos, MI 48864 2016-05-18
1437505971 Jessica Lynn Reslock Occupational Therapist 2378 Woodlake Dr. Suite 280, Children's Therapy Corner, Okemos, MI 48864 2016-05-13
Find all providers in zip 48864

Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Notes: Source: American Psychological Association [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1104291723 Joy Family Center Psychologist 1745 Hamilton Rd Ste 350, Okemos, MI 48864-1955 2015-12-08
1437522935 Shubhra Kannan Psychologist 4405 Heritage Ave, Apt B5, Okemos, MI 48864 2015-11-05
1487084786 Sharon Strouse Psychologist 2111 University Park Dr Ste 100, Okemos, MI 48864-5955 2013-11-22
1023440419 Dr Lori Naughton Psy D PC Psychologist 1745 Hamilton Rd, #325, Okemos, MI 48864-1954 2013-08-07
1760606313 Martha Lynn Aldenbrand Psychologist 2290 Bennett Rd, Okemos, MI 48864-3233 2007-04-13
1891843173 Jerilyn Davis-robison Psychologist 4631 Ottawa Dr, Okemos, MI 48864-2028 2007-01-05
1740349265 Patricia Calvert Forman Psychologist 2165 Commons Pkwy, Okemos, MI 48864-3987 2006-12-08
1215037999 Psychiatric Associates of Ingham Psychologist 2220 University Park Dr, Okemos, MI 48864-3966 2006-09-23
1932112695 Michele Ollie Poorman Psychologist 2422 Jolly Rd, Suite 300, Okemos, MI 48864-3514 2006-08-14
1801847512 Alison M Howie-day Psychologist 2109 Hamilton Rd, Okemos, MI 48864-1700 2006-05-15
Find all providers in OKEMOS

Competitor

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City OKEMOS
Zip Code 48864

Improve Information

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Dataset Information

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.

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