Rising Up Psychological Services PLLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

RISING UP PSYCHOLOGICAL SERVICES PLLC

Practice address

112 W Washington St Ste D
Marquette, MI 49855-4367

Phone

(906) 869-8003

NPI assigned

Sep 7, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Emily Elizabeth Depetro, PSYD

Title

Clinical Psychologist

Phone

(906) 869-8003

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

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

{
    "created_epoch": "1662508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662508800000",
    "number": "1295456366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2202 FITCH AVE",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498551704",
            "telephone_number": "906-869-8003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 W WASHINGTON ST STE D",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498554367",
            "telephone_number": "906-869-8003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISING UP PSYCHOLOGICAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-07",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A",
        "authorized_official_last_name": "DEPETRO",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "906-869-8003",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Marie Ricke-Voss
• Logan May Riesland
• Rodney Riesland, NP
• Katherine Roberta Riley, LLMSW
• Anna Marie Rink, PA
• Makari Rising
• Mary C Ritter, LPC
• Susan E Ritter, M.D.
• Riverwood Therapy LLC
• Leslie A. Robb, M.D.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Marquette, MI
• Providers in Marquette, MI by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.