Active NPI
Larisa K Hutchins, PSY.D.
- Clinical Psychologist
- Okemos, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6301008832
- Practice address
- 4660 Marsh Rd
Suite 16
Okemos, MI 48864-2143 - Phone
- (517) 420-2788
- Fax
- (517) 347-7892
- NPI assigned
- Jan 22, 2007
- Last updated
- Dec 2, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 6301008832 | MI | Primary |
Addresses
Primary practice location
4660 Marsh Rd
Suite 16
Okemos, MI 48864-2143
Mailing address
1563 W Pond Dr
Unit 34
Okemos, MI 48864-2386
Phone (517) 347-2583
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellqor Psychological Services, PC | Clinical | Current | Accepting new patients |
| Mind Body Program LLC | Current | Accepting new patients | |
| Healthy Transitions LLC | Past | Accepting new patients | |
| Family Health Psychiatric & Counseling Center, PC | Clinical | Past | Accepting new patients |
| Robert Bastanfar PHD LP | Past | Accepting new patients | |
| Mueller Therapy, Inc. | Past | Accepting new patients | |
| Glassman & Stanik Consulting Psychologists, LLC | Past | Accepting new patients |
Locations
135 Pinelawn Rd
Ste 204N
Melville, NY 11747
Phone (631) 328-2440
1105 Davidson Rd
Brookfield, WI 53045
Phone (216) 772-7030
15300 Watertown Plank Rd
Ste 106
Elm Grove, WI 53122
Phone (414) 404-5090
289 Saint Joseph St
Green Bay, WI 54301
Phone (920) 252-4442
345 W Washington Ave
Ste 301
Madison, WI 53703
Phone (312) 999-0201
3800 N 92nd St
Milwaukee, WI 53222
Phone (414) 463-7570
111 Owen Rd
Monona, WI 53716
Phone (608) 441-9990
8772 S Mayhew Dr
Oak Creek, WI 53154
Phone (262) 220-3574
7800 N Green Bay Rd
River Hills, WI 53217
Phone (414) 255-1523
Interoperability endpoints
- https://api.platform.athenahealth.com/24246/brand/1/csg/1/fhir/r4
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Professional Counselor
- Juneau, WI
- NPI 1205084118
-
- Counseling Psychologist
- Alma, MI
- NPI 1487703567
Clinical
-
- Adult Care Home Facility
- Alma, MI
- NPI 1275301756
-
- Counseling Psychologist
- Okemos, MI
- NPI 1497168264
-
- Clinical Neuropsychologist
- Milwaukee, WI
- NPI 1720105877
-
- Occupational Therapist
- Random Lake, WI
- NPI 1578515755
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322784000000",
"number": "1841344256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1563 W POND DR",
"address_2": "UNIT 34",
"city": "OKEMOS",
"state": "MI",
"postal_code": "488642386",
"telephone_number": "517-347-2583",
"fax_number": "517-347-7892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4660 MARSH RD",
"address_2": "SUITE 16",
"city": "OKEMOS",
"state": "MI",
"postal_code": "488642143",
"telephone_number": "517-420-2788",
"fax_number": "517-347-7892"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUTCHINS",
"first_name": "LARISA",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-22",
"last_updated": "2011-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MI",
"license": "6301008832",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Okemos, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.