Individual provider Active NPI

Thomas Joe Akalis, L.L.P. L.M.S.W. M.A

  • Clinical Social Worker
  • Fife Lake, MI
National Provider Identifier
1750567871
Registry record updated Jan 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801015536 Issued in MI
Practice address
8264 Military Rd SE
Fife Lake, MI 49633-8251
Phone
(231) 357-3501
NPI assigned
Jan 18, 2008
Last updated
Jan 18, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 6301004024 MI
Clinical Social Worker 1041C0700X 6801015536 MI Primary

Addresses

Primary practice location

8264 Military Rd SE
Fife Lake, MI 49633-8251

Mailing address

8264 Military Rd SE
Fife Lake, MI 49633-8251
Phone (231) 357-3501

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6301004024MIMDClinical Psychologist
6801015536MIMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1200614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200614400000",
    "number": "1750567871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8264 MILITARY RD SE",
            "city": "FIFE LAKE",
            "state": "MI",
            "postal_code": "496338251",
            "telephone_number": "231-357-3501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8264 MILITARY RD SE",
            "city": "FIFE LAKE",
            "state": "MI",
            "postal_code": "496338251",
            "telephone_number": "231-357-3501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKALIS",
        "first_name": "THOMAS",
        "middle_name": "JOE",
        "credential": "L.L.P.  L.M.S.W. M.A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-18",
        "last_updated": "2008-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301004024",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801015536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fife Lake, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2008; 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.