Family Psychological Services, PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

FAMILY PSYCHOLOGICAL SERVICES, PLLC

Practice address

321 E Lake St
Suite 7
Petoskey, MI 49770-2478

Phone

(231) 838-8560

Fax

(231) 344-6003

NPI assigned

May 20, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kelly D Daunter, PSY.D.NPI 1245563279

Title

Owner/Psychologist

Phone

(231) 838-8560

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kelly D Daunter, MA,LLP

  • Psychologist
  • Traverse City, MI
  • NPI 1245563279
  Medicare reassignment NPD Authorized official
• Lisa Ann Drake

  • Mental Health Counselor
  • Boyne City, MI
  • NPI 1245650142
  Medicare reassignment NPD
• Jazmin Garcia, LMSW

  • Clinical Social Worker
  • Petoskey, MI
  • NPI 1235482423
  Medicare reassignment NPD
• Noel Louise Fleming, TLLP

  • Counseling Psychologist
  • Petoskey, MI
  • NPI 1174259501
  NPD
• Barbara Queally, MC, LPC

  • Professional Counselor
  • Alanson, MI
  • NPI 1578704052
  NPD (past)
• Patricia A Tefo

  • Clinical Psychologist
  • Petoskey, MI
  • NPI 1447865647
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1400544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481587200000",
    "number": "1023429438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 E LAKE ST",
            "address_2": "SUITE 7",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497702478",
            "telephone_number": "231-838-8560",
            "fax_number": "231-344-6003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 E LAKE ST",
            "address_2": "SUITE 7",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497702478",
            "telephone_number": "231-838-8560",
            "fax_number": "231-344-6003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PSYCHOLOGICAL SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-20",
        "last_updated": "2016-12-13",
        "status": "A",
        "authorized_official_last_name": "DAUNTER",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER/PSYCHOLOGIST",
        "authorized_official_telephone_number": "231-838-8560",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric J Mancini MD, PC
• Benjamin Joel Ernsberger
• Eugene P Wang, DO PC
• Victoria Fairbairn
• Family Psychological Services
• Charles R Farrugia, DDS
• Robert George Fawcett, M.D.
• Kalub Alexander Fedak, M.D.
• Monica Ann Fedak, MOTR/L
• Gregory Fedirko

• Clinical Psychologist in Petoskey, MI
• Providers in Petoskey, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.