Individual provider Active NPI

Renee Mary Ouradnik, LLP- LIMITED LICENSE

  • Psychologist
  • Escanaba, MI
National Provider Identifier
1528048741
Registry record updated Dec 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6361005743 Issued in MI
Practice address
2001 N Lincoln Rd RM Cb230
Escanaba, MI 49829-2510
Phone
(906) 786-4797
Fax
(906) 786-6762
NPI assigned
Jan 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 6361005743 MI Primary

Addresses

Primary practice location

2001 N Lincoln Rd RM Cb230
Escanaba, MI 49829-2510

Mailing address

2920 College Ave
Escanaba, MI 49829-9597
Phone (906) 786-4797

Other practice location 1

610 S Lincoln Rd
Escanaba, MI 49829-1215
Phone (906) 786-6488

Other identifiers 2

IdentifierTypeStateIssuer
6361005743OtherMIMICHIGAN BOARD OF PSYCHOLOGY
11255985OtherMICAQH #

Other names 1

  • Renee Mary Lapalm Former name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6361005743MIMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Delta-Menominee District Health Department Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766534400000",
    "number": "1528048741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2920 COLLEGE AVE",
            "city": "ESCANABA",
            "state": "MI",
            "postal_code": "498299597",
            "telephone_number": "906-786-4797",
            "fax_number": "906-786-6762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 N LINCOLN RD RM CB230",
            "city": "ESCANABA",
            "state": "MI",
            "postal_code": "498292510",
            "telephone_number": "906-786-4797",
            "fax_number": "906-786-6762"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "610 S Lincoln Rd",
            "address_purpose": "LOCATION",
            "city": "Escanaba",
            "state": "MI",
            "postal_code": "498291215",
            "country_code": "US",
            "telephone_number": "906-786-6488",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OURADNIK",
        "first_name": "RENEE",
        "middle_name": "MARY",
        "name_prefix": "Mrs.",
        "credential": "LLP- LIMITED LICENSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-23",
        "last_updated": "2025-12-24",
        "certification_date": "2025-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6361005743",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MICHIGAN BOARD OF PSYCHOLOGY",
            "identifier": "6361005743",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH #",
            "identifier": "11255985",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RENEE",
            "last_name": "LAPALM",
            "middle_name": "MARY",
            "credential": "TLLP AND/OR LLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Escanaba, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.