LIST PSYCHOLOGICAL SERVICES, PLC
NPI 1154894673
Clinic/Center - Mental Health (Including Community Mental Health Center) in Bad Axe, MI

NPI Status: Active since January 08, 2019

Contact Information

110 E HURON AVE
BAD AXE, MI
ZIP 48413
Phone: (989) 672-6160
Fax: (989) 672-5649

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  • Organization
  • Clinic/Center
  • Mental Health (Including Community Menta...
  • CLIA Number: 23D2187418
  • CLIA Cert. Type: Other - OUTPATIENT SUBSTANCE
  • CLIA Exp. Date: 06-30-2026

About LIST PSYCHOLOGICAL SERVICES, PLC

This page provides the complete NPI Profile along with additional information for List Psychological Services, Plc, a provider established in Bad Axe, Michigan operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1154894673 assigned on January 2019. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated 7 years ago. List Psychological Services, Plc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Mrs. Carin Ann Montei (Contract Supervisor)

NPI
1154894673
Provider Name
LIST PSYCHOLOGICAL SERVICES, PLC
Entity Type
Organization
Location Address
110 E HURON AVE BAD AXE, MI 48413
Location Phone
(989) 672-6160
Location Fax
(989) 672-5649
Mailing Address
443 N STATE ST CARO, MI 48723
Mailing Phone
(989) 672-6160
Mailing Fax
(989) 672-5649
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
01-08-2019
Last Update Date
01-08-2019
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Mental Health (Including Community Mental Health Center)

Taxonomy Code
261QM0801X
Type
Ambulatory Health Care Facilities

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101Y00000XBehavioral Health & Social Service Providers

Counselor

 
2101YA0400XBehavioral Health & Social Service Providers

Counselor
Addiction (Substance Use Disorder)

 
3101YP2500XBehavioral Health & Social Service Providers

Counselor
Professional

 
4103TC0700XBehavioral Health & Social Service Providers

Psychologist
Clinical

 
51041C0700XBehavioral Health & Social Service Providers

Social Worker
Clinical

 
6106H00000XBehavioral Health & Social Service Providers

Marriage & Family Therapist

 
72084P0800XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Psychiatry

 
82084P0802XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Addiction Psychiatry

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. CARIN ANN MONTEI

Authorized Official Title
CONTRACT SUPERVISOR
Authorized Official Phone
(989) 672-6160

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
23D2187418
Facility Type
Other - OUTPATIENT SUBSTANCE
Certificate Effective Date
July 01, 2024
Certificate Expiration Date
June 30, 2026
Laboratory Director
JACQUELINE D. LIST
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to List Psychological Services, Plc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1154894673, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
4
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
9
Unchanged
Pos 7
4
Doubled → 8
Pos 8
6
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 8 → 16 → 7 4 → 8 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 0 + 4 + 1 + 6 + 9 + 8 + 6 + 1 + 4 + 24 = 67

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 67 is 70. The difference is the calculated check digit.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1154894673.

Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

Speech-Language Pathologist
110 E HURON AVE
BAD AXE, MI 48413
Rehabilitation Unit
110 E HURON AVE, SUITE B
BAD AXE, MI 48413
Speech-Language Pathologist
110 E HURON AVE
BAD AXE, MI 48413
Speech-Language Pathologist
110 E HURON AVE, SUITE A
BAD AXE, MI 48413
Specialist
110 E HURON AVE
BAD AXE, MI 48413
Counselor (Addiction (Substance Use Disorder))
110 E HURON AVE
BAD AXE, MI 48413
Counselor (Addiction (Substance Use Disorder))
110 E HURON AVE
BAD AXE, MI 48413

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154894673, enumerated as an "organization" on January 08, 2019.

The provider is located at 110 E HURON AVE BAD AXE, MI 48413 and the phone number is (989) 672-6160.

Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).