Active NPI
Patrick Psychotherapy LLC
- Clinical Social Worker
- East Lansing, MI
National Provider Identifier
1154031482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- PATRICK PSYCHOTHERAPY LLC
- Practice address
- 1525 Gilcrest Ave
East Lansing, MI 48823-1841 - Phone
- (810) 588-7426
- NPI assigned
- Nov 28, 2022
- 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
- Mrs. Lindsay Hall, LMSW
- Title
- Owner and Psychotherapist
- Phone
- (248) 509-5032
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
1525 Gilcrest Ave
East Lansing, MI 48823-1841
Mailing address
2843 E Grand River
Box 120
East Lansing, MI 48823-4989
Phone (810) 588-7426
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0972747 | Other | MI | BCBSM PIN |
| 15584284 | Other | CAQH ID | |
| 6801114283 | Other | MI | STATE LICENSE NUMBER |
National Provider Directory
National Provider DirectoryLocations
2843 E Grand River Ave
Ste 120
East Lansing, MI 48823
Phone (248) 509-5032
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- East Lansing, MI
- NPI 1346857141
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1669593600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1669766400000",
"number": "1154031482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2843 E GRAND RIVER",
"address_2": "BOX 120",
"city": "EAST LANSING",
"state": "MI",
"postal_code": "488234989",
"telephone_number": "810-588-7426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1525 GILCREST AVE",
"city": "EAST LANSING",
"state": "MI",
"postal_code": "488231841",
"telephone_number": "810-588-7426"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PATRICK PSYCHOTHERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-28",
"last_updated": "2022-11-30",
"certification_date": "2022-11-30",
"status": "A",
"authorized_official_last_name": "HALL",
"authorized_official_first_name": "LINDSAY",
"authorized_official_title_or_position": "OWNER AND PSYCHOTHERAPIST",
"authorized_official_telephone_number": "248-509-5032",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LMSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM PIN",
"identifier": "0972747",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH ID",
"identifier": "15584284",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "6801114283",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in East Lansing, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.