Organization Active NPI

Seasons Counseling Center PC

  • Clinical Psychologist
  • Grand Blanc, MI
National Provider Identifier
1699709717
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
SEASONS COUNSELING CENTER PC
Practice address
8311 Office Park Dr
Grand Blanc, MI 48439-2000
Phone
(810) 606-1099
NPI assigned
Jul 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Matthew P. Dickson, PHDNPI 1437321502
Title
Vice President
Phone
(248) 975-8106

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

8311 Office Park Dr
Grand Blanc, MI 48439-2000

Mailing address

7382 Mohansic Dr
Bloomfield, MI 48301-3552
Phone (248) 975-8106

National Provider Directory

National Provider Directory

Locations

8311 Office Park Dr
Grand Blanc, MI 48439
Phone (810) 606-1099

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699709717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7382 MOHANSIC DR",
            "city": "BLOOMFIELD",
            "state": "MI",
            "postal_code": "483013552",
            "telephone_number": "248-975-8106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8311 OFFICE PARK DR",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484392000",
            "telephone_number": "810-606-1099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEASONS COUNSELING CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DICKSON",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "248-975-8106",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Blanc, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.