Active NPI
Carly Percy, MA, TLLP
- Clinical Psychologist
- Flint, MI
National Provider Identifier
1215642210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6351004875
- Practice address
- 1286 S Linden Rd Ste B
Flint, MI 48532-3457 - Phone
- (810) 407-7403
- NPI assigned
- Jan 16, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 6351004875 | MI | Primary |
Addresses
Primary practice location
1286 S Linden Rd Ste B
Flint, MI 48532-3457
Mailing address
816 Silver Creek Rd
Marquette, MI 49855-8970
Phone (480) 215-6586
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6351004875 | MI | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764806400000",
"number": "1215642210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "816 SILVER CREEK RD",
"city": "MARQUETTE",
"state": "MI",
"postal_code": "498558970",
"telephone_number": "480-215-6586"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1286 S LINDEN RD STE B",
"city": "FLINT",
"state": "MI",
"postal_code": "485323457",
"telephone_number": "810-407-7403"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERCY",
"first_name": "CARLY",
"credential": "MA, TLLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-16",
"last_updated": "2025-12-04",
"certification_date": "2025-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MI",
"license": "6351004875",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flint, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.