Individual provider Active NPI

Alisa M Schlacht, D.O.

  • Psychiatry Physician
  • Howell, MI
National Provider Identifier
1205043353
Registry record updated May 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
5101016391 Issued in MI
Practice address
714 E Grand River Ave
Suite 1
Howell, MI 48843-2490
Phone
(517) 376-5174
Fax
(517) 618-8969
NPI assigned
May 17, 2007
Last updated
May 25, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 5101016391 MI Primary

Addresses

Primary practice location

714 E Grand River Ave
Suite 1
Howell, MI 48843-2490

Mailing address

714 E Grand River Ave
Suite 1
Howell, MI 48843-2490
Phone (517) 618-8969

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090819000426 MI Practitioner - Psychiatry 5496809840 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Michigan State University College of Human Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

812 E Jolly Rd
Lansing, MI 48910-6818
Phone (517) 346-8200

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Little Lake Psychiatry and Therapy Services PLLC Current Accepting new patients
Community Mental Health Authority Clinton Eaton Ingham Counties Psychiatry CurrentSince Apr 8, 2019 Accepting new patients

Locations

812 E Jolly Rd
Lansing, MI 48910
Phone (517) 237-7162

812 E Jolly Rd
Ste 210
Lansing, MI 48910
Phone (517) 237-7162

812 E Jolly Rd
Ste 311
Lansing, MI 48910
Phone (517) 346-8000

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337904000000",
    "number": "1205043353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 E GRAND RIVER AVE",
            "address_2": "SUITE 1",
            "city": "HOWELL",
            "state": "MI",
            "postal_code": "488432490",
            "telephone_number": "517-618-8969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 E GRAND RIVER AVE",
            "address_2": "SUITE 1",
            "city": "HOWELL",
            "state": "MI",
            "postal_code": "488432490",
            "telephone_number": "517-376-5174",
            "fax_number": "517-618-8969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHLACHT",
        "first_name": "ALISA",
        "middle_name": "M",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2012-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "5101016391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Howell, MI

Sources for this page

Verify at the official NPI Registry.