Northern State of Mind LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

NORTHERN STATE OF MIND LLC

Practice address

57 N Michigan Ave
Beulah, MI 49617-8600

Phone

(248) 622-3399

NPI assigned

Feb 7, 2026

Organization subpart

No

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

Authorized official

Name

Roberta A. Marshall, MANPI 1144999194

Title

Limited License Psychologist

Phone

(248) 622-3399

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.

• Roberta A Marshall, MA, LLP

  • Clinical Psychologist
  • Beulah, MI
  • NPI 1144999194

  Single Specialty

  NPD Authorized official

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

{
    "created_epoch": "1770422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773273600000",
    "number": "1124979810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 45",
            "city": "BEULAH",
            "state": "MI",
            "postal_code": "496170045",
            "telephone_number": "248-622-3399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 N MICHIGAN AVE",
            "city": "BEULAH",
            "state": "MI",
            "postal_code": "496178600",
            "telephone_number": "248-622-3399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN STATE OF MIND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-07",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "ROBERTA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "LIMITED LICENSE PSYCHOLOGIST",
        "authorized_official_telephone_number": "248-622-3399",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roberta A Marshall, MA, LLP
• Caitlyn Elizabeth Minard
• Mobility Now, Inc.
• Lisa Musgrave, DDS
• Jessica Noe
• Patricia Jean Roth, LLPC
• Lisa A Rutowski, LLP
• Angela Sanchez
• Chloe Anne Sandy
• Jacob Shuler, DPT

• Psychologist in Beulah, MI
• Providers in Beulah, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.

Verify at the official NPI Registry.