Individual provider Active NPI

Michael Paul Dolan, LLP

  • Clinical Psychologist
  • Lansing, MI
National Provider Identifier
1447087093
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6361008243 Issued in MI
Practice address
115 W Allegan St FL 7
Lansing, MI 48933-1717
Phone
(248) 233-3994
Fax
(517) 481-2271
NPI assigned
Sep 17, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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 6361008243 MI Primary

Addresses

Primary practice location

115 W Allegan St FL 7
Lansing, MI 48933-1717

Mailing address

1106 E Cobblefield CT
Bloomington, IN 47401-6305
Phone (586) 238-5565

Other practice location 1

41000 Woodward Ave Ste 350
Bloomfield Hills, MI 48304-5092
Phone (734) 489-1601

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

LicenseStateTypeSpecialty
6361008243MIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Modern Psychology Group,PLLC Clinical CurrentSince Sep 23, 2024 Accepting new patients

Locations

835 Mason St
Ste B220
Dearborn, MI 48124
Phone 3135619064 ext. 102

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1726531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772668800000",
    "number": "1447087093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 E COBBLEFIELD CT",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474016305",
            "telephone_number": "586-238-5565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 W ALLEGAN ST FL 7",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489331717",
            "telephone_number": "248-233-3994",
            "fax_number": "517-481-2271"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "41000 Woodward Ave Ste 350",
            "address_purpose": "LOCATION",
            "city": "Bloomfield Hills",
            "state": "MI",
            "postal_code": "483045092",
            "country_code": "US",
            "telephone_number": "734-489-1601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOLAN",
        "first_name": "MICHAEL",
        "middle_name": "PAUL",
        "credential": "LLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-17",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6361008243",
            "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 Mar 5, 2026; 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.