Active NPI
Convergence Psychological PLC
- Psychologist
- Midland, MI
National Provider Identifier
1104717941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Legal business name
- CONVERGENCE PSYCHOLOGICAL PLC
- Practice address
- 4604 N Saginaw Rd Ste L
Midland, MI 48640-2394 - Phone
- (989) 817-2905
- Fax
- (810) 777-7660
- NPI assigned
- Jul 10, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ethan Volmering
- Title
- Administrative Specialist
- Phone
- (989) 817-2905
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | Primary |
Addresses
Primary practice location
4604 N Saginaw Rd Ste L
Midland, MI 48640-2394
Mailing address
4604 N Saginaw Rd
Midland, MI 48640-2387
National Provider Directory
National Provider DirectoryLocations
4604 N Saginaw Rd
Ste L
Midland, MI 48640
Phone (989) 817-2905
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1752105600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1785283200000",
"number": "1104717941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4604 N SAGINAW RD",
"city": "MIDLAND",
"state": "MI",
"postal_code": "486402387"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4604 N SAGINAW RD STE L",
"city": "MIDLAND",
"state": "MI",
"postal_code": "486402394",
"telephone_number": "989-817-2905",
"fax_number": "810-777-7660"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CONVERGENCE PSYCHOLOGICAL PLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-07-10",
"last_updated": "2026-07-29",
"certification_date": "2026-07-29",
"status": "A",
"authorized_official_last_name": "VOLMERING",
"authorized_official_first_name": "ETHAN",
"authorized_official_title_or_position": "ADMINISTRATIVE SPECIALIST",
"authorized_official_telephone_number": "989-817-2905"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Midland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.