Gregory Guy North, PH.D.
Individual provider Active NPI Clinical Psychologist · Buckley, MI
NPI 1851375745 · NPPES record last updated Mar 17, 2019
Key facts
- NPI
- 1851375745
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 63010005865 (MI)
- Practice address
- 11293 N M-37
Suite a
Buckley, MI 49620-0001 - Phone
- (231) 933-4268
- Fax
- (231) 269-4461
- NPI assigned
- Dec 3, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63010005865 | MI | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Pines Health Center, PC | Current |
Accepting new patients |
Locations
11293 N M 37
Ste A
Buckley, MI 49620
Phone (231) 269-4185
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 63010005865 | MI | Yes |
Addresses
Primary practice location
11293 N M-37
Suite a
Buckley, MI 49620-0001
Mailing address
5989 S Schomberg Rd
Cedar, MI 49621-9703
Phone (231) 933-4268
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 382935998 | Other | MI | MAGELLAN BEHAVIORAL HEALT |
| 038901 | Other | MI | VALUE OPTIONS |
| 11284829 | Other | MI | CAQH |
| 382935998 | Other | MI | PRIORITY HEALTH |
| 382935998 | Other | MI | TRICARE |
Other providers in Buckley, MI
- Luke Brandon Holly
- Joan M Ledford
- Katelyn McDonald
- Kelly R McDonough
- Carrie Lee Minto
- Northern Pines Health Center, PC
- Northwest Wexford Emergency Authority
- April Marie Overla
- Julia Sherilynn Pickard
- Abby Marie St.Louis
All providers in Buckley, MI · Clinical Psychologist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.