Grand Blanc Psychology PLLC

Primary specialty

Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X

License

6301009442 Issued in MI

Legal business name

GRAND BLANC PSYCHOLOGY PLLC

Practice address

8382 Holly Rd Ste 1
Grand Blanc, MI 48439-1972

Phone

(269) 277-3013

Fax

(833) 790-2990

NPI assigned

Feb 27, 2018

Last updated

Feb 27, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Thomas M Starzynski, LIMITED LICENSED PSYNPI 1083790091

Title

Clinical Director

Phone

(269) 277-3013

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Thomas Martin Starzynski, LLP

  • Psychologist
  • Grand Blanc, MI
  • NPI 1083790091
  NPD Authorized official

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

{
    "created_epoch": "1519689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519689600000",
    "number": "1932600772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8382 HOLLY RD STE 1",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484391972",
            "telephone_number": "269-277-3013",
            "fax_number": "833-790-2990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8382 HOLLY RD STE 1",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484391972",
            "telephone_number": "269-277-3013",
            "fax_number": "833-790-2990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND BLANC PSYCHOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-27",
        "last_updated": "2018-02-27",
        "status": "A",
        "authorized_official_last_name": "STARZYNSKI",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "269-277-3013",
        "authorized_official_credential": "LIMITED LICENSED PSY"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "MI",
            "license": "6301009442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Cognitive & Behavioral Psychologist in Grand Blanc, MI
• Providers in Grand Blanc, MI by specialty
• Cognitive & Behavioral Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2018; 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.