Dallaire Psychological Services

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

DALLAIRE PSYCHOLOGICAL SERVICES

Practice address

1096 N Center Rd Ste 94
Burton, MI 48509-1425

Phone

(616) 439-0392

NPI assigned

Nov 30, 2022

Last updated

Nov 30, 2022By 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

Kristin Dallaire, LLPNPI 1609320084

Title

Owner

Phone

(616) 439-0392

Specialties & licenses 1

Addresses

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.

• Kristin Dallaire, MA, LLP

  • Psychologist
  • Fenton, MI
  • NPI 1609320084
  NPD Authorized official

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

{
    "created_epoch": "1669766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669766400000",
    "number": "1801506936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "729 NATALIA DR",
            "city": "DAVISON",
            "state": "MI",
            "postal_code": "484231200",
            "telephone_number": "303-931-3859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1096 N CENTER RD STE 94",
            "city": "BURTON",
            "state": "MI",
            "postal_code": "485091425",
            "telephone_number": "616-439-0392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALLAIRE PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-30",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "status": "A",
        "authorized_official_last_name": "DALLAIRE",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-439-0392",
        "authorized_official_credential": "LLP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kiara Crandall
• Kira Elise Crismon
• Isiah Curlin
• Ariel Cuthpert
• Michelle Paige Daigle
• Daniel S Eisinger DDS PLC
• Vishnuvardhan Reddy Daram
• Tianna Davis
• Lakshmi Kantharao Davu
• Patrice Ann Dembo, RPH

• Mental Health Clinic/Center (Including Community Mental Health Center) in Burton, MI
• Providers in Burton, MI by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2022; 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.