Active NPI
Renee Mary Ouradnik, LLP- LIMITED LICENSE
- Psychologist
- Escanaba, MI
National Provider Identifier
1528048741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6361005743
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6361005743 | Other | MI | MICHIGAN BOARD OF PSYCHOLOGY |
| 11255985 | Other | MI | CAQH # |
Other names 1
- Renee Mary Lapalm
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6361005743 | MI | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Public Health or Welfare Agency
- Escanaba, MI
- NPI 1912051293
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.