Individual provider Active NPI

Robert Douglas Chalmers, LPC, NCC

  • Counseling Psychologist
  • Clinton Township, MI
National Provider Identifier
1558631200
Registry record updated Sep 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
6401012717 Issued in MI
Practice address
15945 Canal Rd
Clinton Township, MI 48038-1610
Phone
(586) 416-2300
Fax
(586) 416-2311
NPI assigned
Jan 11, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 6401012717 MI Primary

Addresses

Primary practice location

15945 Canal Rd
Clinton Township, MI 48038-1610

Mailing address

15945 Canal Rd
Clinton Township, MI 48038-1610
Phone (586) 416-2300

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
I20231219003353 MI Practitioner - Mental Health Counselor 6800246687 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Excelsior Psychological Services PLCGroup PAC ID 7012234644, 2 clinicians

Practice addresses (Care Compare)

11111 Hall Rd
Suite 105
Utica, MI 48317-5799
Phone (248) 656-5003

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6401012717MIMDCounseling Psychologist

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": "1326240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441843200000",
    "number": "1558631200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15945 CANAL RD",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480381610",
            "telephone_number": "586-416-2300",
            "fax_number": "586-416-2311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15945 CANAL RD",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480381610",
            "telephone_number": "586-416-2300",
            "fax_number": "586-416-2311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHALMERS",
        "first_name": "ROBERT",
        "middle_name": "DOUGLAS",
        "credential": "LPC, NCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-01-11",
        "last_updated": "2015-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MI",
            "license": "6401012717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton Township, MI

Sources for this page

Verify at the official NPI Registry.