New Direction Counseling Center

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301011910 Issued in MI

Legal business name

NEW DIRECTION COUNSELING CENTER

Practice address

446 W 40TH St
Holland, MI 49423-4644

Phone

(616) 395-3083

Fax

(616) 395-3644

NPI assigned

Apr 15, 2009

Last updated

Apr 15, 2009By the provider in NPPES

Organization subpart

Yes

Parent organization

CENTRAL WESLEYAN CHURCHAs reported in NPPES

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

Authorized official

Name

Dr. Tim Mills, PSY.D

Title

Licensed Psychologist

Phone

(616) 395-3083

Specialties & licenses 1

Addresses

Part of

New Direction Counseling Center

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.

• Timothy L. Mills, PSY.D.

  • Clinical Psychologist
  • Muskegon, MI
  • NPI 1053642660
  NPD (past)

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

{
    "created_epoch": "1239753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239753600000",
    "number": "1720221179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "446 W 40TH ST",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494234644",
            "telephone_number": "616-395-3083",
            "fax_number": "616-395-3644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "446 W 40TH ST",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494234644",
            "telephone_number": "616-395-3083",
            "fax_number": "616-395-3644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW DIRECTION COUNSELING CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTRAL WESLEYAN CHURCH",
        "enumeration_date": "2009-04-15",
        "last_updated": "2009-04-15",
        "status": "A",
        "authorized_official_last_name": "MILLS",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "616-395-3083",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301011910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2009; 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.