Livingston Psychological Services, PLLC

Primary specialty

Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X

License

6301006503 Issued in MI

Legal business name

LIVINGSTON PSYCHOLOGICAL SERVICES, PLLC

Practice address

204 W Grand River Ave Ste 260
Howell, MI 48843

Phone

(517) 540-6166

Fax

(517) 546-9148

NPI assigned

Jul 14, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Hampton Eugene Walker Jr., PHDNPI 1316236235

Title

Owner

Phone

(734) 377-4580

Specialties & licenses 1

Addresses

Other names 1

• Livingston Psychological Services Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hampton Eugene Walker Jr., PH.D.

  • Clinical Psychologist
  • Howell, MI
  • NPI 1316236235
  Medicare reassignment Authorized official
• Mary Frances Spence, PHD

  • Clinical Psychologist
  • Howell, MI
  • NPI 1518402247
  NPD (past)
• Leonard O Uchendu, LMSW

  • Clinical Social Worker
  • Mason, MI
  • NPI 1932456076
  NPD (past)

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

{
    "created_epoch": "1499990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1649792292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 W GRAND RIVER AVE STE 260",
            "city": "HOWELL",
            "state": "MI",
            "postal_code": "488432250",
            "telephone_number": "517-540-6166",
            "fax_number": "517-546-9148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 W GRAND RIVER AVE STE 260",
            "city": "HOWELL",
            "state": "MI",
            "postal_code": "48843",
            "telephone_number": "517-540-6166",
            "fax_number": "517-546-9148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVINGSTON PSYCHOLOGICAL SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-14",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "HAMPTON",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-377-4580",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "MI",
            "license": "6301006503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Livingston Psychological Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Deborah Jennings Lonergan, SLP
• Steven Vernon Long, R.N.
• Doris Lontscharitsch
• Leanna Lynn Lopez, OTR/L

• Cognitive & Behavioral Psychologist in Howell, MI
• Providers in Howell, MI by specialty
• Cognitive & Behavioral Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.