Southwest Michigan Psychological Solutions, PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301014295 Issued in MI

Legal business name

SOUTHWEST MICHIGAN PSYCHOLOGICAL SOLUTIONS, PLLC

Practice address

57239 N Main St
Three Rivers, MI 49093-9419

Phone

(219) 221-3862

NPI assigned

Jul 29, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Becky Nagy, PSYD

Title

Psychologist / Business Partner

Phone

(219) 221-3862

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Kelly Thelen, LLPC

  • Professional Counselor
  • Three Rivers, MI
  • NPI 1841742731
  NPD (past)

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

{
    "created_epoch": "1438128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438128000000",
    "number": "1235514373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57239 N MAIN ST",
            "city": "THREE RIVERS",
            "state": "MI",
            "postal_code": "490939419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57239 N MAIN ST",
            "city": "THREE RIVERS",
            "state": "MI",
            "postal_code": "490939419",
            "telephone_number": "219-221-3862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST MICHIGAN PSYCHOLOGICAL SOLUTIONS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-29",
        "last_updated": "2015-07-29",
        "status": "A",
        "authorized_official_last_name": "NAGY",
        "authorized_official_first_name": "BECKY",
        "authorized_official_title_or_position": "PSYCHOLOGIST / BUSINESS PARTNER",
        "authorized_official_telephone_number": "219-221-3862",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301014295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trenda Lynn Smith, COTA/L
• Aleah Snell
• Alyssa Marie-Fern Sotelo
• James Loren Souers
• Southwest Michigan Chiropractic, Inc, (SWMC)
• Southwest Vision Center Inc
• Joanne Southworth, LPN
• Kristi Sue Spoelma, MA LLPC
• Steven Michael Squires, PA-C
• St. Joseph County Commission on Aging

• Clinical Psychologist in Three Rivers, MI
• Providers in Three Rivers, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2015; 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.