Individual provider Active NPI

Nicole Jeanette Franklin, PSYD

  • Clinical Psychologist
  • Flint, MI
National Provider Identifier
1386744191
Registry record updated Jun 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301012757 Issued in MI
Practice address
G-3200 Beecher Road
Suite Mbi
Flint, MI 48532-3685
Phone
(810) 342-1000
Fax
(810) 342-1590
NPI assigned
Sep 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 6301012757 MI Primary

Addresses

Primary practice location

G-3200 Beecher Road
Suite Mbi
Flint, MI 48532-3685

Mailing address

401 S. Ballenger Highway
Flint, MI 48532-3685
Phone (810) 342-1000

Other identifiers 5

IdentifierTypeStateIssuer
1021475OtherMCLAREN HEALTH PLAN
1021475OtherMCLAREN HEALTH ADVANTAGE
OP250050OtherMIMCARE GROUP ID NUMBER
680B512650OtherBCBSM-BCN-FEP
056350OtherMIVALUE OPTIONS MCLAREN GRP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061106000510 MI Practitioner - Clinical Psychologist 5890792717 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McLaren FlintGroup PAC ID 8628975497, 144 clinicians

Practice addresses (Care Compare)

401 S Ballenger Hwy
Flint, MI 48532-3638
Phone (810) 342-2000

G3200 Beecher Rd
Suite Mbi
Flint, MI 48532-3613
Phone (810) 342-3900

Hospital & facility affiliations

  • McLaren Flint Hospital, Flint, MI, CCN 230141

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6301012757MIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
McLaren Flint Clinical CurrentSince Sep 7, 2006 Accepting new patients
McLaren Flint CurrentSince Sep 7, 2006 Accepting new patients

Locations

5701 Bow Pointe Dr
Ste 280
Clarkston, MI 48346
Phone (248) 922-6830

G3200 Beecher Rd
Ste Mbi
Flint, MI 48532
Phone (810) 342-5470

401 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-1000

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276300800000",
    "number": "1386744191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 S. BALLENGER HIGHWAY",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323685",
            "telephone_number": "810-342-1000",
            "fax_number": "810-342-1590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "G-3200 BEECHER ROAD",
            "address_2": "SUITE MBI",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323685",
            "telephone_number": "810-342-1000",
            "fax_number": "810-342-1590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRANKLIN",
        "first_name": "NICOLE",
        "middle_name": "JEANETTE",
        "name_prefix": "Ms.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-22",
        "last_updated": "2010-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301012757",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCLAREN HEALTH PLAN",
            "identifier": "1021475",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCLAREN HEALTH ADVANTAGE",
            "identifier": "1021475",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCARE GROUP ID NUMBER",
            "identifier": "OP250050",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM-BCN-FEP",
            "identifier": "680B512650",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS MCLAREN GRP",
            "identifier": "056350",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.