Progressive Psychological Services

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

PROGRESSIVE PSYCHOLOGICAL SERVICES

Practice address

22778 Macomb Industrial Dr
Clinton Township, MI 48036-1137

Phone

(586) 524-4904

NPI assigned

Feb 19, 2019

Last updated

Feb 19, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Cynthia Marjorie Stackpoole, M.S.,LLP

Title

Limited Licensed Psychologist

Phone

(586) 524-4904

Specialties & licenses 1

Addresses

Other names 1

• Cynthia Marjorie Stackpoole Other name

Locations

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

{
    "created_epoch": "1550534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550534400000",
    "number": "1790241446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47670 BEACON SQUARE DR",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480442872",
            "telephone_number": "586-524-4904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22778 MACOMB INDUSTRIAL DR",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480361137",
            "telephone_number": "586-524-4904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-19",
        "last_updated": "2019-02-19",
        "status": "A",
        "authorized_official_last_name": "STACKPOOLE",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "MARJORIE",
        "authorized_official_title_or_position": "LIMITED LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "586-524-4904",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.S.,LLP"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cynthia Marjorie Stackpoole",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cynthia Marjorie Stackpoole",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Christine Pritchett
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• Vincent Joseph Procopio, PHARMD
• Professional Emergency Care, PC
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• Ann Marcelle Provencher
• Amanda Pruitt
• Valerie Ann Prusaitis, PHARM.D.
• Elizabeth Kay Pruzinsky
• Kathryn Pryomski, LLMSW

• Adult Mental Health Clinic/Center in Clinton Township, MI
• Providers in Clinton Township, MI by specialty
• Adult Mental Health Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2019; 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.