Psychological Consultants of Michigan, P.C.

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

PSYCHOLOGICAL CONSULTANTS OF MICHIGAN, P.C.

Practice address

7 Heritage Oak LN Ste 1
Battle Creek, MI 49015-4283

Phone

(269) 967-1311

Fax

(269) 968-2651

NPI assigned

Oct 4, 2006

Last updated

Jul 8, 2022By 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. Jeffrey Andert, PHDNPI 1124232608

Title

Director

Phone

(269) 968-2811

Specialties & licenses 7

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Tax ID family

Psychological Consultants of Mi PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Psychological Consultants of Mi, P.C.

  • Psychologist
  • Battle Creek, MI
  • NPI 1306159843
  NPD tax ID

Locations

Practitioners 39

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.

• Jeffrey N Andert, PHD

  • Psychologist
  • Battle Creek, MI
  • NPI 1124232608
  Medicare reassignment Care Compare group NPD Authorized official
• Travis Wasson, PSY.D, LP

  • Clinical Psychologist
  • Battle Creek, MI
  • NPI 1295136919
  Medicare reassignment Care Compare group NPD
• Jasmine Dowe-Brewton

  • Psychologist
  • Battle Creek, MI
  • NPI 1043992373
  NPD
• Cora J Lorenz, M.A., TLLP

  • Psychologist
  • Battle Creek, MI
  • NPI 1154067031
  NPD
• Kelsey Marie Quigley

  • Professional Counselor
  • Battle Creek, MI
  • NPI 1942843537
  NPD
• Esteban Rivera

  • Professional Counselor
  • Battle Creek, MI
  • NPI 1790328987
  NPD
• Mark Sprague, MA, TLLP

  • Clinical Psychologist
  • Battle Creek, MI
  • NPI 1538033956
  NPD
• Ian David Blair Jr.

  • Clinical Social Worker
  • Battle Creek, MI
  • NPI 1982005187
  NPD (past)
• Marisa Ann Brown, M.A., LLP

  • Clinical Psychologist
  • Battle Creek, MI
  • NPI 1083828131
  NPD (past)
• Juan Francisco Carisalez, LLP

  • Psychologist
  • Kalamazoo, MI
  • NPI 1609102680
  NPD (past)
• Eileen Kay Coffman, MA, LPC LLMFT

  • Marriage & Family Therapist
  • Battle Creek, MI
  • NPI 1487868949
  NPD (past)
• Samantha Ann Corey, M.A., LPC

  • Mental Health Counselor
  • Hillsdale, MI
  • NPI 1982818977
  NPD (past)

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657238400000",
    "number": "1407941677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 HERITAGE OAK LN STE 1",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490154283",
            "telephone_number": "269-967-1311",
            "fax_number": "269-968-2651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 HERITAGE OAK LN STE 1",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490154283",
            "telephone_number": "269-967-1311",
            "fax_number": "269-968-2651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOLOGICAL CONSULTANTS OF MICHIGAN, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2022-07-08",
        "certification_date": "2022-07-08",
        "status": "A",
        "authorized_official_last_name": "ANDERT",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "269-968-2811",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET ID#",
            "identifier": "343921",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE ID#",
            "identifier": "7609153570",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1705289-21",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS FACILITY ID",
            "identifier": "20604",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. ANDERT BLUE CROSS ID",
            "identifier": "680A39524",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS PROVIDER ID",
            "identifier": "321748",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Pritt
• Linda L Proctor, PHARM D
• Katie Proeber, CTRS
• Susan Prough, RN
• Psychological Consultants of Mi, P.C.
• Melissa Ellen Pugh, LLMSW
• Renae Christine Pullman, LMSW
• Pure Psychiatry of Michigan PLLC
• Kristen Brooke Purvis
• Michelle Sue Pyard, NP

• Psychologist in Battle Creek, MI
• Providers in Battle Creek, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2022; 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.