Individual provider Active NPI

George T Starrett, EDD

  • Clinical Psychologist
  • Saint Joseph, MI
National Provider Identifier
1548244635
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301007140 Issued in MI
Practice address
2095 Niles Rd
Saint Joseph, MI 49085-2473
Phone
(269) 983-4751
Fax
(269) 983-0803
NPI assigned
Dec 1, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 6301007140 MI Primary

Addresses

Primary practice location

2095 Niles Rd
Saint Joseph, MI 49085-2473

Mailing address

2095 Niles Rd
Saint Joseph, MI 49085-2473
Phone (269) 983-4751

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Clinic Past Accepting new patients
Psychology Associates, PC Clinical Past Accepting new patients
Comprehensive Neuropsychological Services PC Past Accepting new patients
Dorman and Associates PLC PastSince Feb 17, 2020 Accepting new patients

Organizations & group practices 4

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": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1548244635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2095 NILES RD",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490852473",
            "telephone_number": "269-983-4751",
            "fax_number": "269-983-0803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2095 NILES RD",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490852473",
            "telephone_number": "269-983-4751",
            "fax_number": "269-983-0803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARRETT",
        "first_name": "GEORGE",
        "middle_name": "T",
        "credential": "EDD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-01",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301007140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Joseph, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.