Individual provider Active NPI

Terry Lynn Laflame, TLL

  • Clinical Psychologist
  • Caro, MI
National Provider Identifier
1861633570
Registry record updated Mar 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301013890 Issued in MI
Practice address
2000 Chambers Rd
Caro, MI 48723-9293
Phone
(989) 673-3191
Fax
(989) 673-0064
NPI assigned
Mar 11, 2009
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6301013890MIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
State of Michigan Office of Financial Management Past Accepting new patients
State of Michigan Office of Financial Management Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 6301013890 MI Primary

Addresses

NPPES NPI Registry

Primary practice location

2000 Chambers Rd
Caro, MI 48723-9293

Mailing address

2000 Chambers Rd
Caro, MI 48723-9293
Phone (989) 673-3191

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
1758845MedicaidMI

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 11, 2009.

{
    "created_epoch": "1236729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236729600000",
    "number": "1861633570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 CHAMBERS RD",
            "city": "CARO",
            "state": "MI",
            "postal_code": "487239293",
            "telephone_number": "989-673-3191",
            "fax_number": "989-673-0064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 CHAMBERS RD",
            "city": "CARO",
            "state": "MI",
            "postal_code": "487239293",
            "telephone_number": "989-673-3191",
            "fax_number": "989-673-0064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAFLAME",
        "first_name": "TERRY",
        "middle_name": "LYNN",
        "credential": "TLL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-11",
        "last_updated": "2009-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301013890",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1758845",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Caro, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2009; 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.