Missi Nadeau PH.D. P.L.C.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301007867 Issued in MI

Legal business name

MISSI NADEAU PH.D. P.L.C.

Practice address

1735 Peck St
Muskegon, MI 49441-2507

Phone

(231) 722-7751

NPI assigned

Apr 18, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Missi Nadeau, PH.D.NPI 1487714036

Title

Sole Proprietor

Phone

(231) 722-7751

Specialties & licenses 4

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Missi Nadeau, PH.D.

  • Clinical Psychologist
  • NPI 1487714036
  NPD (past) Authorized official

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

{
    "created_epoch": "1208476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208476800000",
    "number": "1184898280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5092",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494455092",
            "telephone_number": "231-722-7751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1735 PECK ST",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494412507",
            "telephone_number": "231-722-7751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSI NADEAU PH.D. P.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-18",
        "last_updated": "2008-04-18",
        "status": "A",
        "authorized_official_last_name": "NADEAU",
        "authorized_official_first_name": "MISSI",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "231-722-7751",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301007867",
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "MI",
            "license": "6301007867",
            "primary": false
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Forensic",
            "state": "MI",
            "license": "6301007867",
            "primary": false
        },
        {
            "code": "103TH0004X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Health",
            "state": "MI",
            "license": "6301007867",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Mills, PHARMD
• Timothy L. Mills, PSY.D.
• Cindy Ann Milton, LLMFT
• Hailey Marie Minzey
• Stephanie L Misciasci, M.D.
• Kelsey Marie Mitchell, MSW
• Michelle Renea Mitchell
• Reid Mitchell, DO
• Shakia Mitchell
• John L. Mixer, D.D.S.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2008; 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.