GREAT LAKES PSYCHOLOGICAL ASSOCIATES PLLC
NPI 1205205747
Psychologist - Clinical in Mt Pleasant, MI

Q: What is Great Lakes Psychological Associates PLLC's specialty?

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

Active since September 15, 2015

400 S UNIVERSITY AVE, MT PLEASANT, MI 48858(989) 317-3188(989) 202-1888 Get Directions Write a Review

NPPES record last updated: January 4, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 4, 2019, Jun 21, 2016 (2 updates tracked since 2016).

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About Great Lakes Psychological Associates Pllc NPPES

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

GREAT LAKES PSYCHOLOGICAL ASSOCIATES PLLC (NPI 1205205747) is a healthcare organization registered as a clinical in Mt Pleasant, Michigan and active in the NPI registry since September 2015. The organization lists Jeremy Adam Moeggenberg, Owner, as its authorized official.

NPPES Registry Identity

NPI1205205747

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameGREAT LAKES PSYCHOLOGICAL ASSOCIATES PLLC

Location Address400 S UNIVERSITY AVEMt Pleasant, MI 48858-3170

Mailing Address400 S University AveMt Pleasant, MI 48858-3170 · (989) 317-3188 · Fax (989) 202-1888

Phone(989) 317-3188

Fax(989) 202-1888

Organization SubpartNo

Authorized OfficialJeremy Adam MoeggenbergOwner · (989) 317-3188

Enumeration DateSeptember 15, 2015

Last NPPES UpdateJanuary 4, 20192 updates tracked since enumeration

✔ NPI 1205205747 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 · 6301014926

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.

400 S UNIVERSITY AVE, Mt Pleasant, MI 48858

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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan.Insurance ›

Other Providers at the Same Location NPPES 2

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

MRS. EMILY S JENNINGS CLC

Lactation Consultant, Non-RN

400 S UNIVERSITY AVE, SUITE B, ROOM C
MOUNT PLEASANT, MI 48858

Isabella County (989) 312-3071

DR. JEREMY ADAM MOEGGENBERG PSYD.

Psychologist (Clinical)

400 S UNIVERSITY AVE
MT PLEASANT, MI 48858

Isabella County (989) 317-3188

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 Great Lakes Psychological Associates PLLC's NPI number?

The NPI number for Great Lakes Psychological Associates PLLC is 1205205747. It was assigned to this organization in the NPPES registry on September 15, 2015.

Where is Great Lakes Psychological Associates PLLC located?

Great Lakes Psychological Associates PLLC is located at 400 S University Ave, Mt Pleasant, MI 48858. The listed phone number is (989) 317-3188.

What is Great Lakes Psychological Associates PLLC's specialty?

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

What insurance does Great Lakes Psychological Associates PLLC accept?

Health plans from Blue Care Network of Michigan list Great Lakes Psychological Associates PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Great Lakes Psychological Associates PLLC was last updated on January 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.