NPIMap

Organization Active NPI

Psy-Che PLLC

  • Social Worker
  • Saint Clair Shores, MI
National Provider Identifier
1972060788
Registry record updated Apr 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
PSY-CHE PLLC
Practice address
22445 Maple St
Saint Clair Shores, MI 48081-2360
Phone
(248) 765-8343
NPI assigned
Feb 28, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2024

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

Authorized official

Name
Mrs. Chelsea Peraino Smoots, MBA LMSWNPI 1245676212
Title
Owner/Operator
Phone
(248) 765-8343

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 104100000X Primary

Addresses

Primary practice location

22445 Maple St
Saint Clair Shores, MI 48081-2360

Mailing address

22445 Maple St
Saint Clair Shores, MI 48081-2360

National Provider Directory

National Provider Directory

Locations

801 W 11 Mile Rd
Ste 160
Royal Oak, MI 48067
Phone (248) 765-8343

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1551312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713916800000",
    "number": "1972060788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22445 MAPLE ST",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480812360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22445 MAPLE ST",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480812360",
            "telephone_number": "248-765-8343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSY-CHE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-28",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A",
        "authorized_official_last_name": "SMOOTS",
        "authorized_official_first_name": "CHELSEA",
        "authorized_official_middle_name": "PERAINO",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "248-765-8343",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MBA LMSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Clair Shores, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.