NPIMap

Organization Active NPI

Professional Psychological and Rehabilitation Services, PC

  • Community/Behavioral Health Agency
  • Lansing, MI
National Provider Identifier
1184021834
Registry record updated Nov 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
6401003899 Issued in MI
Legal business name
PROFESSIONAL PSYCHOLOGICAL AND REHABILITATION SERVICES, PC
Practice address
302 S Waverly Rd
Lansing, MI 48917-3631
Phone
(517) 321-5900
NPI assigned
Nov 24, 2014
Last updated
Nov 24, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2014

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

Authorized official

Name
John P Dowling, MA, LPC.NPI 1982140604
Title
Clinical Therapist
Phone
(517) 321-5900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 6401003899 MI Primary

Addresses

Primary practice location

302 S Waverly Rd
Lansing, MI 48917-3631

Mailing address

302 S Waverly Rd
Suite1
Lansing, MI 48917-3631
Phone (517) 321-5900

National Provider Directory

National Provider Directory

Locations

302 S Waverly Rd
Lansing, MI 48917
Phone (517) 321-5900

302 S Waverly Rd
Ste 1
Lansing, MI 48917
Phone (517) 321-5900

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1416787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416787200000",
    "number": "1184021834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 S WAVERLY RD",
            "address_2": "SUITE1",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489173631",
            "telephone_number": "517-321-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 S WAVERLY RD",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489173631",
            "telephone_number": "517-321-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL PSYCHOLOGICAL AND REHABILITATION SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-24",
        "last_updated": "2014-11-24",
        "status": "A",
        "authorized_official_last_name": "DOWLING",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CLINICAL THERAPIST",
        "authorized_official_telephone_number": "517-321-5900",
        "authorized_official_credential": "MA, LPC."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "6401003899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2014; 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.