Active NPI
Michael Paul Dolan, LLP
- Clinical Psychologist
- Lansing, MI
National Provider Identifier
1447087093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6361008243
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 6361008243 | MI | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michigan Modern Psychology Group,PLLC | Clinical | Current | 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.
-
- Clinical Psychologist
- Dearborn, MI
- NPI 1447701255
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.