Dr. M. Rousseau, PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301012660 Issued in MI

Legal business name

DR. M. ROUSSEAU, PLLC

Practice address

732 Holland Ave
Port Huron, MI 48060-1512

Phone

(810) 434-6280

NPI assigned

Feb 21, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michelle M Rousseau, PSY.D.

Title

Licensed Psychologist

Phone

(810) 956-4389

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gail F McIntyre, M.D.

  • Adolescent Medicine (Family Medicine) Physician
  • Fort Gratiot, MI
  • NPI 1366554891
  NPD (past)

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053456525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3560 PINE GROVE AVE # 613",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480601994",
            "telephone_number": "810-956-4389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "732 HOLLAND AVE",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480601512",
            "telephone_number": "810-434-6280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. M. ROUSSEAU, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROUSSEAU",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "810-956-4389",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301012660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Downriver Community Services Inc (DCS Pharmacy - Port Huron)
• Downriver Community Services Inc. (Community First Health Centers)
• Downriver Community Services, Inc. (Community First Health Centers)
• Kyle W Doyle, MSN, CRNA
• Dr William R Hubbell Jr DDS PC
• Dr. Timothy Grondin Total Health Chiropractic PLLC
• Brittany Marie Drouillard
• Meghan Nancy Drouillard, RN
• Ellen Drowns, LMSW
• Jeehoon Drummond, LLC

• Clinical Psychologist in Port Huron, MI
• Providers in Port Huron, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.