Darryl Tonemah, PHD,

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

1314 Issued in OK

Practice address

102 Superior Ave
Baraga, MI 49908-9673

Phone

(906) 353-8700

NPI assigned

Oct 31, 2018

Last updated

Mar 11, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Clinical Psychologist

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Keweenaw Bay Indian CommunityGroup PAC ID 7315070471, 11 clinicians

Lac Vieux Desert Band of Lake Superior Chippewa IndiansGroup PAC ID 2567629181, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Keweenaw Bay Indian Community

  • Federally Qualified Health Center (FQHC)
  • Baraga, MI
  • NPI 1336232289

  Multi-Specialty, TX

  Medicare reassignment Care Compare group NPD
• Lac Vieux Desert Band of Lake Superior Chippewa Indians

  dba LVD Health Center

  • Federally Qualified Health Center (FQHC)
  • Watersmeet, MI
  • NPI 1114071578

  Multi-Specialty, TX

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1540944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1922575570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3271 PALMER RD",
            "city": "RANSOMVILLE",
            "state": "NY",
            "postal_code": "141319686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 SUPERIOR AVE",
            "city": "BARAGA",
            "state": "MI",
            "postal_code": "499089673",
            "telephone_number": "906-353-8700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3271 Palmer Rd",
            "address_purpose": "LOCATION",
            "city": "Ransomville",
            "state": "NY",
            "postal_code": "141319686",
            "country_code": "US",
            "telephone_number": "405-226-4434",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TONEMAH",
        "first_name": "DARRYL",
        "name_prefix": "Dr.",
        "credential": "PHD,",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-10-31",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MI",
            "license": "6301017752",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "OK",
            "license": "1314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lizabeth Ralles, MD
• Arthur Schimelfenig, PHD
• Mary Dee A Shanahan, LPN
• Shelbie Anne Shelder, MD
• Mary Margaret Tikkanen
• Becky J Tussing, RN
• Deborah Sue Vizina, LPN
• Heidi Voskuhl, RDH
• Kathleen Ann Witkowski, ACSW
• Sarah Michelle Woodruff, CRC, LLPC

• Counseling Psychologist in Baraga, MI
• Providers in Baraga, MI by specialty
• Counseling Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.