Individual provider Active NPI

Larisa K Hutchins, PSY.D.

  • Clinical Psychologist
  • Okemos, MI
National Provider Identifier
1841344256
Registry record updated Dec 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301008832 Issued in MI
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, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160627002425 WI Practitioner - Clinical Psychologist 6608022637 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wellqor Psychological Services, PC Clinical CurrentSince Aug 2, 2023 Accepting new patients
Mind Body Program LLC CurrentSince Jan 22, 2024 Accepting new patients
Healthy Transitions LLC PastSince Dec 17, 2023 Accepting new patients
Family Health Psychiatric & Counseling Center, PC Clinical PastSince Jul 1, 2023 Accepting new patients
Robert Bastanfar PHD LP PastSince Sep 3, 2014 Accepting new patients
Mueller Therapy, Inc. PastSince May 9, 2017 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.