Pats Psychological Services LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

PATS PSYCHOLOGICAL SERVICES LLC

Practice address

808 W Lake Lansing Rd Ste 200
East Lansing, MI 48823-6322

Phone

(517) 705-3202

NPI assigned

Nov 18, 2020

Organization subpart

No

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

Authorized official

Name

Elizabeth Mary Davis-Pennington, LMSW-CLINICAL, CADCNPI 1013503713

Title

Owner

Phone

(517) 588-9313

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

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

• Elizabeth Mary Davis-Pennington, LMSW-CLINICAL

  • Clinical Social Worker
  • East Lansing, MI
  • NPI 1013503713

  Addiction (Substance Use Disorder)

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1605657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697673600000",
    "number": "1780287128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 W LAKE LANSING RD STE 200",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488236322",
            "telephone_number": "517-705-3202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 W LAKE LANSING RD STE 200",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488236322",
            "telephone_number": "517-705-3202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATS PSYCHOLOGICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-18",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A",
        "authorized_official_last_name": "DAVIS-PENNINGTON",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-588-9313",
        "authorized_official_credential": "LMSW-CLINICAL, CADC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick Psychotherapy LLC
• Kali Patrick, R.PH
• Megan Patrick, D.C.
• Melissa Rose Patrick, LMSW
• Telicia Patrick
• Mark Anthony Pattee, COTA/L
• Meghan Kristi Patterson, LMT
• Shannon Pavlak
• Michael Pavlik, PHARMD
• Jacalynn Hope Pawloski

• Clinical Social Worker in East Lansing, MI
• Providers in East Lansing, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2023; 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.