Edward J. Mike, PH.D., P.C.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301001900 Issued in MI

Legal business name

EDWARD J. MIKE, PH.D., P.C.

Practice address

160 East Warwick Drive
Alma, MI 48801

Phone

(989) 466-4700

Fax

(231) 743-2106

NPI assigned

Jun 15, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Edward J. Mike, PH.D

Title

President

Phone

(989) 466-4700

Specialties & licenses 3

Addresses

Other identifiers 3

Other names 1

• Brighton Counseling Other name

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216080000000",
    "number": "1922042555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17711 10TH AVE.",
            "city": "MARION",
            "state": "MI",
            "postal_code": "496657930",
            "telephone_number": "989-466-4700",
            "fax_number": "231-743-2106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 EAST WARWICK DRIVE",
            "city": "ALMA",
            "state": "MI",
            "postal_code": "48801",
            "telephone_number": "989-466-4700",
            "fax_number": "231-743-2106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD J. MIKE, PH.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-15",
        "last_updated": "2008-07-15",
        "status": "A",
        "authorized_official_last_name": "MIKE",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "989-466-4700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301001900",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301001900",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "MI",
            "license": "4101000518",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP #",
            "identifier": "OP33020",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PERSONAL NPI ENU",
            "identifier": "1275571309",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1024126",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brighton Counseling",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Meredith Cay Duckworth, LMSW
• Kaylynn Dunevant
• Andrea Dunn
• Bridget Eagleson
• Rayeann Nicole Eberhard
• Sarah Louise Edwards
• Elizabeth Elliott-Redlin
• George Michael Elliott, MD
• Sara Elsayed, MD
• Joy Emery, RPH

• Clinical Psychologist in Alma, MI
• Providers in Alma, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; 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.