Family Psychological Services

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

005398 Issued in MI

Legal business name

FAMILY PSYCHOLOGICAL SERVICES

Practice address

2040 Intertown Rd
Petoskey, MI 49770-9746

Phone

(231) 347-7665

Fax

(231) 348-0904

NPI assigned

Mar 3, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Maria Teresa Daunter, PH.D.NPI 1215118005

Title

Psychologist/Owner

Phone

(231) 347-7665

Specialties & licenses 1

Addresses

Other names 1

• Dr. Maria Teresa Daunter Other name

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 1

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

• Maria Teresa Daunter, PH.D

  • Clinical Psychologist
  • Petoskey, MI
  • NPI 1215118005
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1299110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299110400000",
    "number": "1497053102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 INTERTOWN RD",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497709746",
            "telephone_number": "231-347-7665",
            "fax_number": "231-348-0904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 INTERTOWN RD",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497709746",
            "telephone_number": "231-347-7665",
            "fax_number": "231-348-0904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-03",
        "last_updated": "2011-03-03",
        "status": "A",
        "authorized_official_last_name": "DAUNTER",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "TERESA",
        "authorized_official_title_or_position": "PSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "231-347-7665",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "MI",
            "license": "005398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Maria Teresa Daunter",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Brenda Marie Ennis, MSW; DCSW
• Eric J Mancini MD, PC
• Benjamin Joel Ernsberger
• Eugene P Wang, DO PC
• Victoria Fairbairn
• Family Psychological Services, PLLC
• Charles R Farrugia, DDS
• Robert George Fawcett, M.D.
• Kalub Alexander Fedak, M.D.
• Monica Ann Fedak, MOTR/L

• Health Service Clinic/Center in Petoskey, MI
• Providers in Petoskey, MI by specialty
• Health Service Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2011; 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.