Organization Active NPI

Pickens Behavioral Services PLLC

  • Prescribing (Medical) Psychologist
  • Okemos, MI
National Provider Identifier
1417308347
Registry record updated Aug 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prescribing (Medical) PsychologistTaxonomy code 103TP0016X
License
4301092517 Issued in MI
Legal business name
PICKENS BEHAVIORAL SERVICES PLLC
Practice address
4084 Okemos Rd
Okemos, MI 48864-3258
Phone
(517) 347-4848
Fax
(517) 347-4844
NPI assigned
Jun 22, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2016

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

Authorized official

Name
Naudia N Pickens, MD
Title
Owner
Phone
(517) 347-4848

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prescribing (Medical) PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TP0016X 4301092517 MI Primary

Addresses

Primary practice location

4084 Okemos Rd
Okemos, MI 48864-3258

Mailing address

PO Box 10
Mason, MI 48854-0010
Phone (517) 676-9788

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1466553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470182400000",
    "number": "1417308347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10",
            "city": "MASON",
            "state": "MI",
            "postal_code": "488540010",
            "telephone_number": "517-676-9788",
            "fax_number": "866-776-7556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4084 OKEMOS RD",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488643258",
            "telephone_number": "517-347-4848",
            "fax_number": "517-347-4844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PICKENS BEHAVIORAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-22",
        "last_updated": "2016-08-03",
        "status": "A",
        "authorized_official_last_name": "PICKENS",
        "authorized_official_first_name": "NAUDIA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-347-4848",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "103TP0016X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": "MI",
            "license": "4301092517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Okemos, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.