Tele Psychiatry Associates PLLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

TELE PSYCHIATRY ASSOCIATES PLLC

Practice address

2743 Hagadorn Rd
Mason, MI 48854-9456

Phone

(517) 896-5612

NPI assigned

Nov 28, 2017

Organization subpart

No

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

Authorized official

Name

Mary Beth Houpt

Title

Credentialing

Phone

(517) 676-9797

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 1

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

• David A Picone, D.O.

  • Psychiatry Physician
  • Mason, MI
  • NPI 1568575579
  Medicare reassignment NPD

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

{
    "created_epoch": "1511827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680134400000",
    "number": "1194239202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10",
            "city": "MASON",
            "state": "MI",
            "postal_code": "488540010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2743 HAGADORN RD",
            "city": "MASON",
            "state": "MI",
            "postal_code": "488549456",
            "telephone_number": "517-896-5612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TELE PSYCHIATRY ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-28",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A",
        "authorized_official_last_name": "HOUPT",
        "authorized_official_first_name": "MARY BETH",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "517-676-9797"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shalisa Tarbell
• Jeannine Taylor, LMSW
• Jeffrey Taylor, MA, CCC-SLP
• Jennifer Taylor
• Kathleen Marie Taylor, MSW
• Temple Street Family Practice P.C.
• Savannah Tennant
• Hillary Thiel
• Terrence Thole, PHARM.D.
• Christinna Thomas, LMT

• Psychiatry Physician in Mason, MI
• Providers in Mason, MI by specialty
• Psychiatry Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.