Gwendoline C Tindle, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301018808 Issued in MI

Practice address

302 S Senator Rd
Crystal, MI 48818-9651

Phone

(989) 831-9111

NPI assigned

Mar 24, 2013

Reactivated

Nov 17, 2025

Last updated

Sep 1, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Alternative Counseling Center

  • Counselor
  • Crystal, MI
  • NPI 1790194736
  NPD (past)

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

{
    "created_epoch": "1364083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1316289739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 S SENATOR RD",
            "city": "CRYSTAL",
            "state": "MI",
            "postal_code": "488189651",
            "telephone_number": "907-317-4322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 S SENATOR RD",
            "city": "CRYSTAL",
            "state": "MI",
            "postal_code": "488189651",
            "telephone_number": "989-831-9111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 E Main St",
            "address_purpose": "LOCATION",
            "city": "Stanton",
            "state": "MI",
            "postal_code": "488889687",
            "country_code": "US",
            "telephone_number": "989-831-9000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TINDLE",
        "first_name": "GWENDOLINE",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-24",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "deactivation_date": "2025-09-17",
        "reactivation_date": "2025-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301018808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alternative Counseling Center
• Susan Bollinger
• Penny Sue Rose
• Kim Michelle Seidel, M.A., L.P.C., N.C.C.
• TLC Adult Care Home, LLC

• Clinical Psychologist in Crystal, MI
• Providers in Crystal, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.