Active NPI
Steven Adam Lifson, PHD
- Clinical Psychologist
- Mt Pleasant, MI
National Provider Identifier
1497944763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6301008996
- Practice address
- 304 W Michigan St
Suite 16
Mt Pleasant, MI 48858-2492 - Phone
- (989) 400-9254
- NPI assigned
- Oct 23, 2007
- Sex
- Male
- 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 | 6301008996 | MI | Primary |
Addresses
Primary practice location
304 W Michigan St
Suite 16
Mt Pleasant, MI 48858-2492
Mailing address
304 W Michigan St
Suite 16
Mt Pleasant, MI 48858-2492
Phone (989) 400-9254
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11281997 | Other | MI | CAQH |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301008996 | MI | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308528000000",
"number": "1497944763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "304 W MICHIGAN ST",
"address_2": "SUITE 16",
"city": "MT PLEASANT",
"state": "MI",
"postal_code": "488582492",
"telephone_number": "989-400-9254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "304 W MICHIGAN ST",
"address_2": "SUITE 16",
"city": "MT PLEASANT",
"state": "MI",
"postal_code": "488582492",
"telephone_number": "989-400-9254"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIFSON",
"first_name": "STEVEN",
"middle_name": "ADAM",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-10-23",
"last_updated": "2011-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MI",
"license": "6301008996",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11281997",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mt Pleasant, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.