45TH Parallel Psychological

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

45TH PARALLEL PSYCHOLOGICAL

Practice address

685 E M 32 Ste 211
Gaylord, MI 49735-7775

Phone

(989) 614-7766

NPI assigned

Apr 26, 2022

Organization subpart

No

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

Authorized official

Name

Mrs. Kristy Somerville, LMSWNPI 1407297641

Title

Clinical Social Worker

Phone

(989) 614-0776

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.

• Kristy Somerville, LMSW-CM

  • Clinical Social Worker
  • Gaylord, MI
  • NPI 1407297641
  NPD Authorized official

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

{
    "created_epoch": "1650931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650931200000",
    "number": "1306580352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6837 OAKLAND HILLS DR",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497358743",
            "telephone_number": "989-614-0776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "685 E M 32 STE 211",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497357775",
            "telephone_number": "989-614-7766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "45TH PARALLEL PSYCHOLOGICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-26",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A",
        "authorized_official_last_name": "SOMERVILLE",
        "authorized_official_first_name": "KRISTY",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "989-614-0776",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George Abraham, MD
• Access Home Health Care, Inc.
• Julia Noelle Adams, LLMSW
• Rachel Adams
• Fatima Al-Hakim

• Clinical Social Worker in Gaylord, MI
• Providers in Gaylord, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2022; 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.