Psychological Services of East Lansing, PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301014282 Issued in MI

Legal business name

PSYCHOLOGICAL SERVICES OF EAST LANSING, PLLC

Practice address

1650 Kendale Blvd
Suite 95
East Lansing, MI 48823-2076

Phone

(517) 599-4934

Fax

(517) 489-4444

NPI assigned

Jan 2, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Jacqueline Titus, PH.D

Title

Owner, Licensed Psychologist

Phone

(517) 599-4934

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1325462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325462400000",
    "number": "1083984405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 KENDALE BLVD",
            "address_2": "SUITE 95",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488232076",
            "telephone_number": "517-599-4934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 KENDALE BLVD",
            "address_2": "SUITE 95",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488232076",
            "telephone_number": "517-599-4934",
            "fax_number": "517-489-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOLOGICAL SERVICES OF EAST LANSING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-02",
        "last_updated": "2012-01-02",
        "status": "A",
        "authorized_official_last_name": "TITUS",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "OWNER, LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "517-599-4934",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301014282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Progressive Care Medical Group of Mi, PLLC
• Kathy Anne Prouty
• Colton C Prudnick, DO
• Hannah Prys, DC
• Psychological Services
• Aubryana Lacy Wedge Pung, LLMSW
• Megan Purves
• Joseph John Pysh, D.O.
• Omar Qahwash, D.O.
• Mian Qayyum, MD

• Clinical Psychologist in East Lansing, MI
• Providers in East Lansing, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2012; 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.