Michael J Mischley, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301001872 Issued in MI

Practice address

4401 N Campus Ridge Dr
Suite C2000
Midland, MI 48640-6112

Phone

(989) 941-1112

NPI assigned

Jan 22, 2008

Last updated

Nov 22, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

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.

• Mymichigan Medical Center Alpena

  dba MyMichigan Family Medicine

  • Rural Health Clinic/Center
  • Alpena, MI
  • NPI 1144722604
  NPD (past)

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

{
    "created_epoch": "1200960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479772800000",
    "number": "1184800104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 N SUNSET WAY",
            "city": "SANFORD",
            "state": "MI",
            "postal_code": "486579584",
            "telephone_number": "989-941-1112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 N CAMPUS RIDGE DR",
            "address_2": "SUITE C2000",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486406112",
            "telephone_number": "989-941-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISCHLEY",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-22",
        "last_updated": "2016-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301001872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Audrey J Mills
• Amy Miner
• Krista Jo Minnis, OTR/L
• Nicole Lynn Minnis, MA, LLP
• Lynne A Mischley, MSSW
• Alyssa Misiak, PT, DPT
• Kindra Ann Mitchell
• Samantha Mitchell
• Hannah Nicole Mithoefer, PT, DPT
• Kenneth Ryan Mize, LLMSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2016; 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.