WEST SIDE FAMILY MENTAL HEALTH CLINIC, P.C.
NPI 1194918466
Psychologist - Clinical in South Haven, MI

Active since August 21, 2007
352 BLUE STAR HWY, BLUE STAR PROFESSIONAL BLDG., SOUTH HAVEN, MI 49090(269) 637-1170(269) 639-1312 Get Directions Write a Review

NPPES record last updated: September 6, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About West Side Family Mental Health Clinic, P.c. NPPES

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

WEST SIDE FAMILY MENTAL HEALTH CLINIC, P.C. (NPI 1194918466) is a healthcare organization registered as a clinical in South Haven, Michigan and active in the NPI registry since August 2007. The organization lists Adolph O. Di Loreto, President, as its authorized official.

NPPES Registry Identity

NPI1194918466
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameWEST SIDE FAMILY MENTAL HEALTH CLINIC, P.C.
Location Address352 BLUE STAR HWY, BLUE STAR PROFESSIONAL BLDG.South Haven, MI 49090-7102
Mailing Address352 Blue Star Hwy, Blue Star Professional Bldg.South Haven, MI 49090-7102 · (269) 637-1170 · Fax (269) 639-1312
Fax(269) 639-1312
Organization SubpartNo
Authorized OfficialAdolph O. Di LoretoPresident · (269) 637-1170
Enumeration DateAugust 21, 2007
Last NPPES UpdateSeptember 6, 2007
NPI 1194918466 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 · 0822
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.
352 BLUE STAR HWY, South Haven, MI 49090

Other Identifiers 1

Medicare PINON95680MI

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

Psychologist (Clinical)
352 BLUE STAR HWY, BLUE STAR PROFESSIONAL BLDG
SOUTH HAVEN, MI 49090

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 West Side Family Mental Health Clinic, P.C.'s NPI number?

The NPI number for West Side Family Mental Health Clinic, P.C. is 1194918466. It was assigned to this organization in the NPPES registry on August 21, 2007.

Where is West Side Family Mental Health Clinic, P.C. located?

West Side Family Mental Health Clinic, P.C. is located at 352 Blue Star Hwy Blue Star Professional Bldg., South Haven, MI 49090. The listed phone number is (269) 637-1170.

What is West Side Family Mental Health Clinic, P.C.'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 West Side Family Mental Health Clinic, P.C. was last updated on September 6, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.