Organization Active NPI

Little Lake Psychiatry and Therapy Services PLLC

  • Adult Mental Health Clinic/Center
  • Ann Arbor, MI
National Provider Identifier
1053067629
Registry record updated Mar 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
LITTLE LAKE PSYCHIATRY AND THERAPY SERVICES PLLC
Practice address
405 Little Lake Dr Ste A9
Ann Arbor, MI 48103-6220
Phone
(734) 404-8188
NPI assigned
Feb 23, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2022

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

Authorized official

Name
Dr. Alisa Schlacht, DONPI 1205043353
Title
Owner
Phone
(517) 304-7056

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

405 Little Lake Dr Ste A9
Ann Arbor, MI 48103-6220

Mailing address

405 Little Lake Dr Ste A9
Ann Arbor, MI 48103-6220

National Provider Directory

National Provider Directory

Locations

405 Little Lake Dr
Ste A9
Ann Arbor, MI 48103
Phone (734) 404-8188

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1645574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648339200000",
    "number": "1053067629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 LITTLE LAKE DR STE A9",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481036220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 LITTLE LAKE DR STE A9",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481036220",
            "telephone_number": "734-404-8188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE LAKE PSYCHIATRY AND THERAPY SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-23",
        "last_updated": "2022-03-27",
        "certification_date": "2022-03-27",
        "status": "A",
        "authorized_official_last_name": "SCHLACHT",
        "authorized_official_first_name": "ALISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-304-7056",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.