Carolyn Van Cleave, Ed.D. PC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301002777 Issued in MI

Legal business name

CAROLYN VAN CLEAVE, ED.D. PC

Practice address

901 Canal St
Mt Pleasant, MI 48858-3304

Phone

(989) 772-6241

Fax

(989) 772-8009

NPI assigned

Oct 27, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Carolyn Van Cleave, ED.D.

Title

President

Phone

(989) 772-6241

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1193443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193443200000",
    "number": "1194904029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 CANAL ST",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488583304",
            "telephone_number": "989-772-6241",
            "fax_number": "989-772-8009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 CANAL ST",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488583304",
            "telephone_number": "989-772-6241",
            "fax_number": "989-772-8009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLYN VAN CLEAVE, ED.D. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-27",
        "last_updated": "2007-10-27",
        "status": "A",
        "authorized_official_last_name": "VAN CLEAVE",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "989-772-6241",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ED.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301002777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• James Lawrence Carroll, PSYCHOLOGIST

• Clinical Psychologist in Mt Pleasant, MI
• Providers in Mt Pleasant, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2007; 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.