NORTHERN STATE OF MIND LLC
NPI 1124979810
Psychologist in Beulah, MI

Active since February 07, 2026
57 N MICHIGAN AVE, BEULAH, MI 49617(248) 622-3399 Get Directions Write a Review

NPPES record last updated: March 12, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 12, 2026, Feb 7, 2026 (2 updates tracked since 2026).

About Northern State Of Mind Llc NPPES

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

NORTHERN STATE OF MIND LLC (NPI 1124979810) is a healthcare organization registered as a psychologist in Beulah, Michigan and active in the NPI registry since February 2026. The organization lists Roberta A. Marshall, Limited License Psychologist, as its authorized official.

NPPES Registry Identity

NPI1124979810
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameNORTHERN STATE OF MIND LLC
Location Address57 N MICHIGAN AVEBeulah, MI 49617-8600
Mailing AddressPo Box 45Beulah, MI 49617-0045 · (248) 622-3399
Organization SubpartNo
Authorized OfficialRoberta A. MarshallLimited License Psychologist · (248) 622-3399
Enumeration DateFebruary 7, 2026
Last NPPES UpdateMarch 12, 20262 updates tracked since enumeration
NPPES CertifiedMarch 12, 2026
NPI 1124979810 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
57 N MICHIGAN AVE, Beulah, MI 49617

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Northern State Of Mind LLC's NPI number?

The NPI number for Northern State Of Mind LLC is 1124979810. It was assigned to this organization in the NPPES registry on February 7, 2026.

Where is Northern State Of Mind LLC located?

Northern State Of Mind LLC is located at 57 N Michigan Ave, Beulah, MI 49617. The listed phone number is (248) 622-3399.

What is Northern State Of Mind LLC's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Northern State Of Mind LLC was last updated on March 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.