NPIMap

Organization Active NPI

Gregory G North PHD PC

  • Clinical Psychologist
  • Buckley, MI
National Provider Identifier
1609061464
Registry record updated Mar 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301005865 Issued in MI
Legal business name
GREGORY G NORTH PHD PC
Practice address
11293 N M 37
Suite a
Buckley, MI 49620-9593
Phone
(231) 933-4268
Fax
(231) 269-4461
NPI assigned
Sep 13, 2007
Last updated
Mar 17, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2019

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

Authorized official

Name
Dr. Gregory Guy North, PHDNPI 1851375745
Title
Owner
Phone
(231) 933-4268

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 6301005865 MI Primary

Addresses

Primary practice location

11293 N M 37
Suite a
Buckley, MI 49620-9593

Mailing address

5989 S Schomberg Rd
Cedar, MI 49621-9703
Phone (231) 933-4268

National Provider Directory

National Provider Directory

Locations

11293 N M 37
Ste A
Buckley, MI 49620
Phone (231) 269-4185

129 W Wexford Ave
Buckley, MI 49620
Phone (213) 269-4185

525 W Fourteenth St
Traverse City, MI 49684
Phone (231) 933-4268

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1189641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552780800000",
    "number": "1609061464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5989 S SCHOMBERG RD",
            "city": "CEDAR",
            "state": "MI",
            "postal_code": "496219703",
            "telephone_number": "231-933-4268",
            "fax_number": "231-269-4461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11293 N M 37",
            "address_2": "SUITE A",
            "city": "BUCKLEY",
            "state": "MI",
            "postal_code": "496209593",
            "telephone_number": "231-933-4268",
            "fax_number": "231-269-4461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY G NORTH PHD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-13",
        "last_updated": "2019-03-17",
        "status": "A",
        "authorized_official_last_name": "NORTH",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "GUY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "231-933-4268",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301005865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buckley, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2019; 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.