Active NPI
Jacqueline Lamkin, MA, TLLP
- Clinical Psychologist
- Center Line, MI
National Provider Identifier
1922456961
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6301016575
- Practice address
- 26522 Van Dyke Ave
Center Line, MI 48015-1221 - Phone
- (586) 759-4400
- NPI assigned
- Jun 1, 2016
- 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 | 6301016575 | MI | Primary |
Addresses
Primary practice location
26522 Van Dyke Ave
Center Line, MI 48015-1221
Mailing address
12216 Corvair Dr
Sterling Heights, MI 48312-4028
Phone (248) 721-6600
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301016575 | MI | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464739200000",
"number": "1922456961",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12216 CORVAIR DR",
"city": "STERLING HEIGHTS",
"state": "MI",
"postal_code": "483124028",
"telephone_number": "248-721-6600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26522 VAN DYKE AVE",
"city": "CENTER LINE",
"state": "MI",
"postal_code": "480151221",
"telephone_number": "586-759-4400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAMKIN",
"first_name": "JACQUELINE",
"credential": "MA, TLLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-06-01",
"last_updated": "2016-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MI",
"license": "6301016575",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Center Line, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.