Okemos Psychological Services, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

OKEMOS PSYCHOLOGICAL SERVICES, LLC

Practice address

2172 Commons Pkwy Ste C
Okemos, MI 48864-3986

Phone

(517) 819-5654

NPI assigned

Feb 23, 2016

Organization subpart

No

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

Authorized official

Name

Debora Dantus, LMSWNPI 1023305901

Title

Owner/Member

Phone

(517) 819-5654

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Debora Dantus, LMSW

  • Clinical Social Worker
  • Okemos, MI
  • NPI 1023305901
  Medicare reassignment Authorized official
• Constansia Mutinda Maundupajak, LPC

  • Professional Counselor
  • Okemos, MI
  • NPI 1013973684
  NPD (past)

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

{
    "created_epoch": "1456185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715644800000",
    "number": "1376902031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2257",
            "city": "CHESTERTON",
            "state": "IN",
            "postal_code": "463040357",
            "telephone_number": "219-929-8320",
            "fax_number": "219-926-3524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2172 COMMONS PKWY STE C",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488643986",
            "telephone_number": "517-819-5654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKEMOS PSYCHOLOGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-23",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A",
        "authorized_official_last_name": "DANTUS",
        "authorized_official_first_name": "DEBORA",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "517-819-5654",
        "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": []
}

• Okemos Optometry,PC
• Okemos Osteopathic Center PLC
• Okemos Pediatric Dentistry
• Okemos Primary Care Physicians PC
• Okemos Psychological Consultanats
• Okemos Smile Center of Michigan PLLC
• Okemos Therapy Associates
• Okemos Urology Consultants PLC
• Amy H Oldejans, NP
• Reid Harrison Olds, D.D.S.,PC

• Clinical Social Worker in Okemos, MI
• Providers in Okemos, 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 May 14, 2024; 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.