Organization Active NPI

Dexter Psychological Services PLLC

  • Clinical Psychologist
  • Ann Arbor, MI
National Provider Identifier
1730561515
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301015743 Issued in MI
Legal business name
DEXTER PSYCHOLOGICAL SERVICES PLLC
Practice address
211 3Rd St
Ann Arbor, MI 48103-4304
Phone
(734) 395-9380
NPI assigned
Jun 29, 2015
Last updated
Jun 25, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2026

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

Authorized official

Name
Dr. Marianne Elizabeth Wishka, PSYD, LPNPI 1730327115
Title
Licensed Psychologist/Founder
Phone
(734) 395-9380

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 Psychologist 103TC0700X 6301015743 MI Primary

Addresses

Primary practice location

211 3Rd St
Ann Arbor, MI 48103-4304

Mailing address

211 3Rd St
Ann Arbor, MI 48103-4304
Phone (734) 395-9380

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151014000072 MI Part B Supplier - Clinic/Group Practice 4880903889 Receives reassigned benefits from 1 practitioner
Practice locations: Dexter, MI

National Provider Directory

National Provider Directory

Locations

8011 Main St
Dexter, MI 48130
Phone (734) 395-9380

959 Baker Rd
Ste C
Dexter, MI 48130
Phone (734) 395-9380

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1435536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782345600000",
    "number": "1730561515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 3RD ST",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481034304",
            "telephone_number": "734-395-9380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 3RD ST",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481034304",
            "telephone_number": "734-395-9380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEXTER PSYCHOLOGICAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-29",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A",
        "authorized_official_last_name": "WISHKA",
        "authorized_official_first_name": "MARIANNE",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST/FOUNDER",
        "authorized_official_telephone_number": "734-395-9380",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD, LP"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301015743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2026; 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.