Gerald Such Ma LPC

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

3850984 Issued in MI

Legal business name

GERALD SUCH MA LPC

Practice address

3735 Cavalier Dr
Okemos, MI 48864-3917

Phone

(517) 290-5535

NPI assigned

Feb 8, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Gerald Paul Such, MASTERS COUNSELING

Title

President

Phone

(517) 290-5535

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1454889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454889600000",
    "number": "1982062717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3735 CAVALIER DR",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488643917",
            "telephone_number": "517-290-5535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3735 CAVALIER DR",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488643917",
            "telephone_number": "517-290-5535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERALD SUCH MA LPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-08",
        "last_updated": "2016-02-08",
        "status": "A",
        "authorized_official_last_name": "SUCH",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "517-290-5535",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MASTERS COUNSELING"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "MI",
            "license": "3850984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Maintenance Organization in Okemos, MI
• Providers in Okemos, MI by specialty
• Health Maintenance Organization in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2016; 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.