Full Circle Psychology, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

FULL CIRCLE PSYCHOLOGY, LLC

Practice address

324 E Main St
Northville, MI 48167-7400

Phone

(734) 812-4577

NPI assigned

Dec 17, 2019

Last updated

Mar 6, 2020By 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

Sabrina Mitchell, LMSW, CAADCNPI 1669674388

Title

Owner

Phone

(734) 812-4577

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 3

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.

• Sabrina Mitchell, LMSW, CSW

  • Clinical Social Worker
  • Garden City, MI
  • NPI 1669674388
  Medicare reassignment Care Compare group NPD Authorized official
• Catherine Carey Powers

  • Clinical Social Worker
  • Belleville, MI
  • NPI 1568136497
  Medicare reassignment Care Compare group NPD
• Pamela Kay Manela, LMSW, LMFT

  • Social Worker
  • Novi, MI
  • NPI 1750699955
  Medicare reassignment NPD

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

{
    "created_epoch": "1576540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583452800000",
    "number": "1942848254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21740 MERIDIAN LN",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483754941",
            "telephone_number": "734-812-4577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 E MAIN ST",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481677400",
            "telephone_number": "734-812-4577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULL CIRCLE PSYCHOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-17",
        "last_updated": "2020-03-06",
        "certification_date": "2020-03-06",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "SABRINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-812-4577",
        "authorized_official_credential": "LMSW, CAADC"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Connie S Freeman, OTR
• Amy Freij, RD
• Steven T. Fried, M.D.
• Sara C Frost, MD
• Rebecca Fuhlbrigge, MD
• Michael Funyak, PT
• Leyre Gainza
• Lindsay Gallagher, BS
• Robert Garcia, M.D.
• Jessica Gardiner

• Clinical Social Worker in Northville, MI
• Providers in Northville, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.