NPIMap

Organization Active NPI

Perspectives Psychological Associates of Midmichigan LLC

  • Clinical Psychologist
  • Midland, MI
National Provider Identifier
1467953349
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
PERSPECTIVES PSYCHOLOGICAL ASSOCIATES OF MIDMICHIGAN LLC
Practice address
104 W Wackerly St
Midland, MI 48640-2791
Phone
(989) 992-6974
NPI assigned
Feb 26, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2024

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

Authorized official

Name
Jennifer Lombardo, PHDNPI 1871693481
Title
Psychologist
Phone
(989) 486-3021

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X Primary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X

Addresses

Primary practice location

104 W Wackerly St
Midland, MI 48640-2791

Mailing address

104 W Wackerly St
Midland, MI 48640-2791
Phone (989) 486-3021

Other practice location 1

201 S University Ave
MT Pleasant, MI 48858-2527
Phone (989) 486-3021

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180321000326 MI Part B Supplier - Clinic/Group Practice 3072875541 Receives reassigned benefits from 7 practitioners
Practice locations: Midland, MI; Mt Pleasant, MI

National Provider Directory

National Provider Directory

Locations

104 W Wackerly St
Midland, MI 48640
Phone (989) 486-3021

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1519603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728432000000",
    "number": "1467953349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 W WACKERLY ST",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486402791",
            "telephone_number": "989-486-3021",
            "fax_number": "989-486-1843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 W WACKERLY ST",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486402791",
            "telephone_number": "989-992-6974"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 S University Ave",
            "address_purpose": "LOCATION",
            "city": "MT Pleasant",
            "state": "MI",
            "postal_code": "488582527",
            "country_code": "US",
            "telephone_number": "989-486-3021",
            "fax_number": "989-486-1843",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PERSPECTIVES PSYCHOLOGICAL ASSOCIATES OF MIDMICHIGAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-26",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A",
        "authorized_official_last_name": "LOMBARDO",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "989-486-3021",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.