NPIMap

Organization Active NPI

Okemos Psychological Consultanats

  • Psychologist
  • Okemos, MI
National Provider Identifier
1275687436
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
OKEMOS PSYCHOLOGICAL CONSULTANATS
Practice address
2165 Commons Pkwy
Okemos, MI 48864-3987
Phone
(517) 349-6370
NPI assigned
Jan 23, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Patricia C Forman, PHDNPI 1740349265
Title
Owner
Phone
(517) 349-6370

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X MI Primary

Addresses

Primary practice location

2165 Commons Pkwy
Okemos, MI 48864-3987

Mailing address

2165 Commons Pkwy
Okemos, MI 48864-3987
Phone (517) 349-6370

National Provider Directory

National Provider Directory

Locations

2165 Commons Pkwy
Okemos, MI 48864
Phone (517) 349-5663

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275687436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2165 COMMONS PKWY",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488643987",
            "telephone_number": "517-349-6370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2165 COMMONS PKWY",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488643987",
            "telephone_number": "517-349-6370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKEMOS PSYCHOLOGICAL CONSULTANATS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FORMAN",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-349-6370",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Okemos, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.