Active NPI
Pickens Behavioral Services PLLC
- Prescribing (Medical) Psychologist
- Okemos, MI
National Provider Identifier
1417308347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prescribing (Medical) Psychologist
- License
- 4301092517
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Prescribing (Medical) Psychologist | 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 DirectoryNPI 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.