Organization Active NPI

Infinity Consultation Group

  • Psychologist
  • Zeeland, MI
National Provider Identifier
1487246245
Registry record updated Nov 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
INFINITY CONSULTATION GROUP
Practice address
156 W Washington Ave
Zeeland, MI 49464-1102
Phone
(833) 342-4552
NPI assigned
Feb 3, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2023

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

Authorized official

Name
Bernice S Pattterson, PHD
Title
Owner
Phone
(833) 345-4552

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

156 W Washington Ave
Zeeland, MI 49464-1102

Mailing address

PO Box 94
Nazareth, MI 49074-0094
Phone (833) 345-4552

Other practice location 1

5887 Larkwood Ct Apt 1B
Kalamazoo, MI 49048-6648
Phone (833) 342-4552

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210623000812 MI Part B Supplier - Clinic/Group Practice 1850700253 Receives reassigned benefits from 5 practitioners
Practice locations: Holland, MI; Kalamazoo, MI; Zeeland, MI

National Provider Directory

National Provider Directory

Locations

5073 Gull Rd
#94
Kalamazoo, MI 49048
Phone (833) 342-4552

156 W Washington Ave
Zeeland, MI 49464
Phone (833) 342-4552

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1612310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700179200000",
    "number": "1487246245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 94",
            "city": "NAZARETH",
            "state": "MI",
            "postal_code": "490740094",
            "telephone_number": "833-345-4552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 W WASHINGTON AVE",
            "city": "ZEELAND",
            "state": "MI",
            "postal_code": "494641102",
            "telephone_number": "833-342-4552"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5887 Larkwood Ct Apt 1B",
            "address_purpose": "LOCATION",
            "city": "Kalamazoo",
            "state": "MI",
            "postal_code": "490486648",
            "country_code": "US",
            "telephone_number": "833-342-4552",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INFINITY CONSULTATION GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-03",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A",
        "authorized_official_last_name": "PATTTERSON",
        "authorized_official_first_name": "BERNICE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "833-345-4552",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zeeland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2023; 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.