Organization Active NPI

Psych Services, LTD

Doing business as Neuropsychological Services of Lansing

  • Clinical Neuropsychologist
  • Holt, MI
National Provider Identifier
1841252186
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
6301005619 Issued in MI
Legal business name
PSYCH SERVICES, LTD
Doing business as
Neuropsychological Services of Lansing
Practice address
2132 Cedar St Ste 2
Holt, MI 48842-1458
Phone
(517) 853-1925
Fax
(517) 853-1926
NPI assigned
Apr 3, 2006
Last updated
Nov 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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

Authorized official

Name
Edward C Cook, PHDNPI 1023043569
Title
Doctor/ Primary Officer
Phone
(517) 853-1925

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 6301005619 MI Primary
Clinical Neuropsychologist 103G00000X NU
Forensic Psychologist 103TF0200X NU

Addresses

Primary practice location

2132 Cedar St Ste 2
Holt, MI 48842-1458

Mailing address

809 Center Street
Suite 8a
Lansing, MI 48906
Phone (517) 853-1925

Other identifiers 3

IdentifierTypeStateIssuer
OC31120OtherMIBC BS GROUP
036126OtherVALUE OPTIONS
680C346730OtherMIBC BS

Other names 1

  • Neuropsychological Services of Lansing Doing business as

National Provider Directory

National Provider Directory

Locations

2132 Cedar St
Ste 2
Holt, MI 48842
Phone (517) 853-1925

1200 E Michigan Ave
Ste 630
Lansing, MI 48912
Phone (517) 362-5130

809 Center St
Ste 8A
Lansing, MI 48906
Phone (517) 364-5130

Practitioners & affiliated clinicians

Practitioners 7

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": "1144022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731369600000",
    "number": "1841252186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 CENTER STREET",
            "address_2": "SUITE 8A",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "48906",
            "telephone_number": "517-853-1925",
            "fax_number": "517-853-1926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2132 CEDAR ST STE 2",
            "city": "HOLT",
            "state": "MI",
            "postal_code": "488421458",
            "telephone_number": "517-853-1925",
            "fax_number": "517-853-1926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCH SERVICES, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-03",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DOCTOR/ PRIMARY OFFICER",
        "authorized_official_telephone_number": "517-853-1925",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "MI",
            "license": "6301005619",
            "primary": true
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS GROUP",
            "identifier": "OC31120",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "036126",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS",
            "identifier": "680C346730",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neuropsychological Services of Lansing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Holt, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; 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.