Inside Out Brain Clinic, PLLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

INSIDE OUT BRAIN CLINIC, PLLC

Practice address

105 W Michigan Ave Ste D
Marshall, MI 49068-1586

Phone

(269) 268-0410

Fax

(269) 762-8656

NPI assigned

Jun 25, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Lori Zettell, MD

Title

Medical Director

Phone

(269) 969-1989

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Loriann Zettell, M.D.

  • Obstetrics & Gynecology Physician
  • Marshall, MI
  • NPI 1649447707
  NPD

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

{
    "created_epoch": "1719273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719273600000",
    "number": "1932944675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18624 I DR N",
            "city": "MARSHALL",
            "state": "MI",
            "postal_code": "490688404",
            "telephone_number": "269-969-1989",
            "fax_number": "269-762-8656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 W MICHIGAN AVE STE D",
            "city": "MARSHALL",
            "state": "MI",
            "postal_code": "490681586",
            "telephone_number": "269-268-0410",
            "fax_number": "269-762-8656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSIDE OUT BRAIN CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-25",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A",
        "authorized_official_last_name": "ZETTELL",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "269-969-1989",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Ellen Jean Howell, NP-C
• Matthew James Huberty, OD
• Rickie Taryn Huff
• Margaret Hurst
• Imagine Wellness Counseling, PLLC
• Integrative Wellness Therapy PLLC
• Brittany Lynne Irey Heisler, M.D.
• Joyce Elizabeth Irish, R.N.
• Laura L Isaacs, CPHT
• Janelle R James, LPC, LMHC

• Health Service Clinic/Center in Marshall, MI
• Providers in Marshall, MI by specialty
• Health Service Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; 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.