Organization Active NPI

Sircus Psychological Services, PLLC

  • Clinical Psychologist
  • Franklin, MI
National Provider Identifier
1508585589
Registry record updated Aug 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
SIRCUS PSYCHOLOGICAL SERVICES, PLLC
Practice address
25090 Devon LN
Franklin, MI 48025-1280
Phone
(248) 310-4598
NPI assigned
Aug 24, 2022
Last updated
Aug 24, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2022

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

Authorized official

Name
Linda Sircus, PHDNPI 1295883346
Title
Owner
Phone
(248) 310-4598

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X NU Primary

Addresses

Primary practice location

25090 Devon LN
Franklin, MI 48025-1280

Mailing address

25090 Devon LN
Franklin, MI 48025-1280
Phone (248) 310-4598

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220921000499 MI Part B Supplier - Clinic/Group Practice 6305221748 Receives reassigned benefits from 1 practitioner
Practice locations: Franklin, MI

National Provider Directory

National Provider Directory

Locations

26111 W 14 Mile Rd
Ste 101
Franklin, MI 48025
Phone (248) 310-4598

Practitioners & affiliated clinicians

Practitioners 1

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": "1661299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661299200000",
    "number": "1508585589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25090 DEVON LN",
            "city": "FRANKLIN",
            "state": "MI",
            "postal_code": "480251280",
            "telephone_number": "248-310-4598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25090 DEVON LN",
            "city": "FRANKLIN",
            "state": "MI",
            "postal_code": "480251280",
            "telephone_number": "248-310-4598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIRCUS PSYCHOLOGICAL SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-24",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A",
        "authorized_official_last_name": "SIRCUS",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-310-4598",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; 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.