PROGRESSIVE PSYCHOLOGICAL SERVICES NPI 1790241446

NPI Information

NPI: 1790241446
Provider Name: PROGRESSIVE PSYCHOLOGICAL SERVICES
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
22778 MACOMB INDUSTRIAL DR
CLINTON TOWNSHIP, MI
ZIP 48036
Phone: (586) 524-4904
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PROGRESSIVE PSYCHOLOGICAL SERVICES is an adult mental health clinic center in Clinton Township, MI. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. PROGRESSIVE PSYCHOLOGICAL SERVICES NPI is 1790241446. The provider is registered as an organization entity type.

The provider's business location address is:

22778 MACOMB INDUSTRIAL DR
CLINTON TOWNSHIP, MI
ZIP 48036-137
Phone: (586) 524-4904

The provider's authorized official is Cynthia Marjorie Stackpoole .
The authorized official title is Limited Licensed Psychologist and has the following contact phone number (586) 524-4904.

The enumeration date for this NPI number is 2/19/2019 and was last updated on 2/19/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0850X	Clinic/Center	Adult Mental Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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