Active NPI
Nontle Nako
- Psychologist
- Lansing, MI
National Provider Identifier
1386066355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6301013952
- Practice address
- 5123 W St Joe Hwy
Ste 103
Lansing, MI 48917-4093 - Phone
- (517) 323-4099
- Fax
- (517) 323-3334
- NPI assigned
- Jan 10, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 | 6301013952 | MI | Primary |
Addresses
Primary practice location
5123 W St Joe Hwy
Ste 103
Lansing, MI 48917-4093
Mailing address
2650 Marfitt Rd
Apt 16
East Lansing, MI 48823-6342
Phone (517) 323-4099
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301013952 | MI | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oakland Psychological Clinic, P.C. | Past | Accepting new patients | |
| Jonathan M. Blair PHD, PLLC | Psychologist | Past | Accepting new patients |
Organizations & group practices 2
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
- Lansing, MI
- NPI 1154764827
-
- Clinical Social Worker
- Lansing, MI
- NPI 1538810080
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389571200000",
"number": "1386066355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2650 MARFITT RD",
"address_2": "APT 16",
"city": "EAST LANSING",
"state": "MI",
"postal_code": "488236342",
"telephone_number": "517-323-4099",
"fax_number": "517-323-3334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5123 W ST JOE HWY",
"address_2": "STE 103",
"city": "LANSING",
"state": "MI",
"postal_code": "489174093",
"telephone_number": "517-323-4099",
"fax_number": "517-323-3334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAKO",
"first_name": "NONTLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-01-10",
"last_updated": "2014-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MI",
"license": "6301013952",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lansing, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.