NPIMap

Organization Active NPI

Lifeskills Psychological Services, PC

  • Clinical Neuropsychologist
  • Cadillac, MI
National Provider Identifier
1053760231
Registry record updated Feb 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
6301016675 Issued in MI
Legal business name
LIFESKILLS PSYCHOLOGICAL SERVICES, PC
Practice address
805 S Carmel St
Cadillac, MI 49601-2344
Phone
(231) 775-6517
NPI assigned
Jun 8, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2023

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

Authorized official

Name
Dr. Michelle Morse
Title
PHD
Phone
(231) 775-6517

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical NeuropsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103G00000X 6301016675 MI Primary

Addresses

Primary practice location

805 S Carmel St
Cadillac, MI 49601-2344

Mailing address

805 S Carmel St
Cadillac, MI 49601-2344

National Provider Directory

National Provider Directory
Tax ID family
Lifeskills Psychological Services PC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1465344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676246400000",
    "number": "1053760231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 S CARMEL ST",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496012344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 S CARMEL ST",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496012344",
            "telephone_number": "231-775-6517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESKILLS PSYCHOLOGICAL SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-08",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-13",
        "status": "A",
        "authorized_official_last_name": "MORSE",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "PHD",
        "authorized_official_telephone_number": "231-775-6517",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "MI",
            "license": "6301016675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cadillac, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2023; 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.