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MRS. NICOLE LYNN MINNIS MA, LLP
NPI 1063501351
Psychologist - Clinical in Midland, MI

Active since October 12, 2006
218 FAST ICE DR, MIDLAND, MI 48642(989) 631-2320(989) 631-9214 Get Directions Write a Review

NPPES record last updated: May 15, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Nicole Lynn Minnis Ma, Llp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. NICOLE LYNN MINNIS MA, LLP (NPI 1063501351) is an individual clinical provider in Midland, Michigan, licensed in Michigan (6301011787) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1063501351
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameMRS. NICOLE LYNN MINNISCredential: MA, LLP
Location Address218 FAST ICE DRMidland, MI 48642-6167
Mailing Address8141 Creston DrFreeland, MI 48623-8722 · (989) 245-0371
Phone(989) 631-2320
Fax(989) 631-9214
Sole ProprietorYes
Enumeration DateOctober 12, 2006
Last NPPES UpdateMay 15, 2013
✔ NPI 1063501351 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in MI · 6301011787
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
218 FAST ICE DR, Midland, MI 48642
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRITTANY MARSHALL RN
Registered Nurse
218 FAST ICE DR
MIDLAND, MI 48642
Midland County (989) 631-2320
MS. TRACY GOETGELUCK
Case Manager/Care Coordinator
218 FAST ICE DR
MIDLAND, MI 48642
Midland County (989) 631-2320
MS. DELLA WADE MSW
Social Worker (Clinical)
218 FAST ICE DR
MIDLAND, MI 48642
Midland County (989) 631-2320
MISS KRISTINA LYNN MEYER BS, QMRP, QMHP
Social Worker
218 FAST ICE DR
MIDLAND, MI 48642
Midland County (989) 631-2320
ROCHELLE J OWCZARZAK LMSW
Social Worker
218 FAST ICE DR
MIDLAND, MI 48642
Midland County (989) 631-2320
MS. KELLY LYNNE BEELMAN PA-C
Social Worker
218 FAST ICE DR
MIDLAND, MI 48642
Midland County (989) 631-2320
TYLER MACKENZIE RICHARDS
Case Manager/Care Coordinator
218 FAST ICE DR
MIDLAND, MI 48642
Midland County (810) 247-1664
BETHANY ANN KEENAN LBSW
Social Worker
218 FAST ICE DR
MIDLAND, MI 48642
Midland County (989) 631-2320

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Minnis's NPI number?

The NPI number for Nicole Minnis is 1063501351. It was assigned to this individual provider in the NPPES registry on October 12, 2006.

Where is Nicole Minnis located?

Nicole Minnis practices at 218 Fast Ice Dr, Midland, MI 48642. The listed phone number is (989) 631-2320.

What is Nicole Minnis's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Nicole Minnis was last updated on May 15, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.