Thomas A. Verkest, M.A.,L.L.P,.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301008935 Issued in MI

Practice address

24715 Little Mack Ave
Ste. 200
Saint Clair Shores, MI 48080-3207

Phone

(586) 777-9000

Fax

(586) 777-0823

NPI assigned

Nov 7, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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 and National Provider Directory roles.

• Shorepointe Counseling P.L.C.

  • Community/Behavioral Health Agency
  • Saint Clair Shores, MI
  • NPI 1881128627
  Medicare reassignment NPD

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962571547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1389 BALMORAL DR",
            "city": "MOUNT CLEMENS",
            "state": "MI",
            "postal_code": "480433001",
            "telephone_number": "586-463-7869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24715 LITTLE MACK AVE",
            "address_2": "STE. 200",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480803207",
            "telephone_number": "586-777-9000",
            "fax_number": "586-777-0823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERKEST",
        "first_name": "THOMAS",
        "middle_name": "A.",
        "name_prefix": "Mr.",
        "credential": "M.A.,L.L.P,.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301008935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victor Velocci, M.D.
• Sachin Venkatachalam, PT
• Sarah Ventimiglia, PA-C
• William A Ventimiglia, M.D.
• Gerald Anthony Verderbar, D.D.S
• Arunima Verma Jayakar, M.D.
• Marissa Verran, NP
• Rudy Jerome Vervaeke, M.D.
• VGW LLC (Park Pharmacy #2)
• Nicole M Vichunas, PA-C

• Clinical Psychologist in Saint Clair Shores, MI
• Providers in Saint Clair Shores, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.