Premier Psychological Services, PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301010832 Issued in MI

Legal business name

PREMIER PSYCHOLOGICAL SERVICES, PLLC

Practice address

1300 W Ridge St
Suite 2
Marquette, MI 49855-3194

Phone

(906) 228-6200

Fax

(906) 228-6244

NPI assigned

Aug 11, 2009

Last updated

Sep 22, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gregory Sansom Jones, PHDNPI 1245214451

Title

Sole Proprietor

Phone

(906) 228-6200

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

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.

• Gregory Sansom Jones, PHD

  • Clinical Psychologist
  • Marquette, MI
  • NPI 1245214451
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1249948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663804800000",
    "number": "1619109501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 W RIDGE ST",
            "address_2": "SUITE 2",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498553194",
            "telephone_number": "906-228-6200",
            "fax_number": "906-228-6244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 W RIDGE ST",
            "address_2": "SUITE 2",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498553194",
            "telephone_number": "906-228-6200",
            "fax_number": "906-228-6244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER PSYCHOLOGICAL SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-11",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "SANSOM",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "906-228-6200",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301010832",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0E20193",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER",
            "identifier": "0E20205",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stacie Powers, PA-C
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• Susan Ann Pragacz, NP
• Precision Toxicology, LLC (Precision Diagnostics)
• Michele Lee Premeau, NP-C
• Abigail O Prentice, MD
• Colton John Prete, DO
• Wendy Prevost, LMSW
• Karley Jo Price
• Sandra Pritchett, FNP-C

• Clinical Psychologist in Marquette, MI
• Providers in Marquette, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.