Active NPI
Lauren Elizabeth Alessi, PH.D.
- Clinical Psychologist
- Petoskey, MI
National Provider Identifier
1447428263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6301005895
- Practice address
- 1414 Kilborn Dr
Petoskey, MI 49770-9258 - Phone
- (231) 347-5112
- Fax
- (231) 347-5115
- NPI assigned
- Feb 14, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 | 6301005895 | MI | Primary |
Addresses
Primary practice location
1414 Kilborn Dr
Petoskey, MI 49770-9258
Mailing address
1414 Kilborn Dr
Petoskey, MI 49770-9258
Phone (231) 347-5112
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 680B445080 | Other | MI | BLUE CROSS BLUE SHIELD |
Other names 1
- Dr. Lauren Elizabeth Miesel
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301005895 | MI | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anthony Alessi DPM PC | Past | Accepting new patients |
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.
-
- Podiatrist
- Petoskey, MI
- NPI 1629275987
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1243296000000",
"number": "1447428263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1414 KILBORN DR",
"city": "PETOSKEY",
"state": "MI",
"postal_code": "497709258",
"telephone_number": "231-347-5112",
"fax_number": "231-347-5115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1414 KILBORN DR",
"city": "PETOSKEY",
"state": "MI",
"postal_code": "497709258",
"telephone_number": "231-347-5112",
"fax_number": "231-347-5115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALESSI",
"first_name": "LAUREN",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-02-14",
"last_updated": "2009-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MI",
"license": "6301005895",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "680B445080",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LAUREN",
"last_name": "MIESEL",
"middle_name": "ELIZABETH",
"prefix": "DR.",
"credential": "PHD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Petoskey, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.