Steven Thomas Peters

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301017202 Issued in MI

Practice address

651 N State St
Caro, MI 48723-1543

Phone

(989) 673-5700

NPI assigned

Aug 12, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Lakeshore Therapy PLLCGroup PAC ID 9133347354, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lakeshore Therapy PLLC

  • Clinical Social Worker
  • Sandusky, MI
  • NPI 1699180901

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• List Psychological Services, PLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Caro, MI
  • NPI 1336176031

  Psychologist

  Medicare reassignment NPD
• List Psychological Services, PLC

  • Clinical Social Worker
  • Sandusky, MI
  • NPI 1174267116
  NPD
• List Psychological Services, PLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Caro, MI
  • NPI 1881644789

  Psychologist

  NPD

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

{
    "created_epoch": "1470960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538611200000",
    "number": "1114471687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1475 E BROWN RD",
            "city": "MAYVILLE",
            "state": "MI",
            "postal_code": "487449503",
            "telephone_number": "810-728-8043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 N STATE ST",
            "city": "CARO",
            "state": "MI",
            "postal_code": "487231543",
            "telephone_number": "989-673-5700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "420 W 5th Ave",
            "address_purpose": "LOCATION",
            "city": "Flint",
            "state": "MI",
            "postal_code": "485032445",
            "country_code": "US",
            "telephone_number": "810-257-3709",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERS",
        "first_name": "STEVEN",
        "middle_name": "THOMAS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-12",
        "last_updated": "2018-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MI",
            "license": "6301015994",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301017202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Cecil Patrick
• Ken Patriquin, MS, LPC, CAADC
• Katelyn Pease, OTRL
• Kortney Peppler, LMSW
• Perry Drug Stores Inc and Subsidiaries (RITE AID Pharmacy 04455)
• Danielle Peterson
• Desaree Phelps, PA-C
• Janelle Pilarski
• Pinnacle Health Care PLC
• Kathy Pisarski

• Clinical Psychologist in Caro, MI
• Providers in Caro, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.