Active NPI
Debra Jo Macklem, PH.D.
- Psychologist
- Chelsea, MI
National Provider Identifier
1659603280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6301013927
- Practice address
- 775 S Main St
Chelsea, MI 48118-1383 - Phone
- (734) 475-4040
- NPI assigned
- Feb 8, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 6301013927 | MI | |
| Psychologist | 103T00000X | 6301013927 | MI | Primary |
Addresses
Primary practice location
775 S Main St
Chelsea, MI 48118-1383
Mailing address
775 S Main St
Chelsea, MI 48118-1383
Phone (734) 475-4040
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301013927 | MI | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Joseph Mercy Chelsea Inc | Past | Accepting new patients | |
| Chelsea Community Hospital | Clinical | Past | Accepting new patients |
Interoperability endpoints
- dmacklem454157@direct.hfhs.org
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.
-
- General Acute Care Hospital
- Chelsea, MI
- NPI 1992761985
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673308800000",
"number": "1659603280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "775 S MAIN ST",
"city": "CHELSEA",
"state": "MI",
"postal_code": "481181383",
"telephone_number": "734-475-4040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "775 S MAIN ST",
"city": "CHELSEA",
"state": "MI",
"postal_code": "481181383",
"telephone_number": "734-475-4040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACKLEM",
"first_name": "DEBRA",
"middle_name": "JO",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-02-08",
"last_updated": "2023-01-10",
"certification_date": "2023-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MI",
"license": "6301013927",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MI",
"license": "6301013927",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chelsea, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.