Excelsior Psychological Services, PLC

Primary specialty

Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X

License

6301011878 Issued in MI

Legal business name

EXCELSIOR PSYCHOLOGICAL SERVICES, PLC

Practice address

11111 Hall Rd Ste 105
Utica, MI 48317-5799

Phone

(248) 656-5003

Fax

(248) 656-5004

NPI assigned

Sep 29, 2014

Last updated

May 11, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. James Andrew Gall, PH.D.NPI 1215951496

Title

Owner/Clinical Director

Phone

(248) 656-5003

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 5

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.

• James Gall, PHD

  • Psychologist
  • Utica, MI
  • NPI 1215951496
  Medicare reassignment Care Compare group NPD Authorized official
• Robert Douglas Chalmers, LPC, NCC

  • Counseling Psychologist
  • Clinton Township, MI
  • NPI 1558631200
  Medicare reassignment Care Compare group
• Brooke Ashley Silverson, MA, LLC

  • Mental Health Counselor
  • Clarkston, MI
  • NPI 1659085199

  Single Specialty

  Medicare reassignment NPD
• Ethan Thomas Slabaugh, DNP

  • Nurse Practitioner
  • Pittsfield, MA
  • NPI 1134849326

  MI

  Medicare reassignment NPD
• Holly Aulph, M.A., LLP

  • Clinical Psychologist
  • Rochester Hills, MI
  • NPI 1063802668
  NPD (past)

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

{
    "created_epoch": "1411948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589155200000",
    "number": "1326441809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11111 HALL RD STE 105",
            "city": "UTICA",
            "state": "MI",
            "postal_code": "483175799",
            "telephone_number": "248-656-5003",
            "fax_number": "248-656-5004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11111 HALL RD STE 105",
            "city": "UTICA",
            "state": "MI",
            "postal_code": "483175799",
            "telephone_number": "248-656-5003",
            "fax_number": "248-656-5004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCELSIOR PSYCHOLOGICAL SERVICES, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-29",
        "last_updated": "2020-05-11",
        "certification_date": "2020-05-11",
        "status": "A",
        "authorized_official_last_name": "GALL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER/CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "248-656-5003",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "MI",
            "license": "6301011878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jay Sean Fallon, LLMSW
• Franklin S Ferres, P.A.-C
• Marshall Bernard Feuer, DDS
• Forest Dental Associates PLLC
• Joseph E Forest Jr., D.D.S.

• Cognitive & Behavioral Psychologist in Utica, MI
• Providers in Utica, MI by specialty
• Cognitive & Behavioral Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2020; 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.