Individual provider Active NPI

Mackenzie Tresnak, PSYD, LP

  • Clinical Psychologist
  • Sterling Heights, MI
National Provider Identifier
1558000562
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301019315 Issued in MI
Practice address
41400 Dequindre Rd Ste 110
Sterling Heights, MI 48314-3751
Phone
(586) 580-2975
Fax
(586) 580-2954
NPI assigned
May 31, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

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 6301019315 MI Primary

Addresses

Primary practice location

41400 Dequindre Rd Ste 110
Sterling Heights, MI 48314-3751

Mailing address

3323 Phillips Ave
Berkley, MI 48072-3143
Phone (248) 914-1314

Other identifiers 1

IdentifierTypeStateIssuer
1558000562MedicaidMI

Other names 1

  • Mackenzie Glaros Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250521001661 MI Practitioner - Clinical Psychologist 7214456433 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Silver Linings CounselingGroup PAC ID 4688972169, 14 clinicians

Practice addresses (Care Compare)

41400 Dequindre Rd
Suite 110
Sterling Heights, MI 48314-3751
Phone (586) 580-2975

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6301019315MIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Silver Linings Counseling Clinical CurrentSince May 1, 2025 Accepting new patients
Trillium Shores, PLLC Clinical Current Accepting new patients

Locations

41400 Dequindre Rd
Ste 110
Sterling Heights, MI 48314
Phone (586) 580-2975

39150 Dequindre Rd
Ste 100
Sterling Hts, MI 48310
Phone (586) 580-2975

Organizations & group practices 2

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": "1653955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1558000562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3323 PHILLIPS AVE",
            "city": "BERKLEY",
            "state": "MI",
            "postal_code": "480723143",
            "telephone_number": "248-914-1314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41400 DEQUINDRE RD STE 110",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483143751",
            "telephone_number": "586-580-2975",
            "fax_number": "586-580-2954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRESNAK",
        "first_name": "MACKENZIE",
        "credential": "PSYD, LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-31",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301019315",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1558000562",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MACKENZIE",
            "last_name": "GLAROS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sterling Heights, MI

Sources for this page

Verify at the official NPI Registry.