Active NPI
Mikala Marie Selich, MA PSYCHOLOGIST
- Psychologist
- Flint, MI
National Provider Identifier
1346823879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6362009782
- Practice address
- 1286 S Linden Rd
Flint, MI 48532-3457 - Phone
- (810) 407-7403
- NPI assigned
- May 3, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 6362009782 | MI | Primary |
Addresses
Primary practice location
1286 S Linden Rd
Flint, MI 48532-3457
Mailing address
1286 S Linden Rd
Flint, MI 48532-3457
Phone (517) 657-2638
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6362009782 | MI | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Guided Goals Therapy LLC | Psychologist | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychologist
- Swartz Creek, MI
- NPI 1861341745
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693872000000",
"number": "1346823879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1286 S LINDEN RD",
"city": "FLINT",
"state": "MI",
"postal_code": "485323457",
"telephone_number": "517-657-2638",
"fax_number": "248-712-4381"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1286 S LINDEN RD",
"city": "FLINT",
"state": "MI",
"postal_code": "485323457",
"telephone_number": "810-407-7403"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SELICH",
"first_name": "MIKALA",
"middle_name": "MARIE",
"credential": "MA PSYCHOLOGIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-03",
"last_updated": "2023-09-05",
"certification_date": "2023-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MI",
"license": "6362009782",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flint, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.