MAUREEN DOOLEY BISMACK LLP
NPI 1225862501
Psychologist in Shelby Township, MI

Active since August 28, 2024
47818 VAN DYKE AVE, SHELBY TOWNSHIP, MI 48317(248) 672-8978 Get Directions Write a Review

NPPES record last updated: August 28, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Maureen Dooley Bismack Llp NPPES

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

MAUREEN DOOLEY BISMACK LLP (NPI 1225862501) is an individual psychologist in Shelby Township, Michigan, licensed in Michigan (6361007647) and active in the NPI registry since August 2024. She is a graduate of Other (2010).

NPPES Registry Identity

NPI1225862501
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameMAUREEN DOOLEY BISMACKCredential: LLP
Location Address47818 VAN DYKE AVEShelby Township, MI 48317-3373
Mailing Address47858 Van Dyke AveShelby Twp, MI 48317-3373 · (248) 672-8978
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateAugust 28, 2024
NPPES CertifiedAugust 28, 2024
✔ NPI 1225862501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in MI · 6361007647
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.
47818 VAN DYKE AVE, Shelby Township, MI 48317

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Maureen Dooley Bismack Llp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4183101371
PECOS Enrollment IDI20260120000471

Medicare Billing Reassignment

Medicare enrollment records show Maureen Bismack reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinical
3334 ROCHESTER RD # 205
Troy, MI 48083
  • Reassigned Medicare billing, Michigan enrollment
  • 7 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Psychologist
47818 VAN DYKE AVE
SHELBY TOWNSHIP, MI 48317
Psychologist (Clinical)
47818 VAN DYKE AVE
SHELBY TOWNSHIP, MI 48317
Psychologist (Clinical)
47818 VAN DYKE AVE
SHELBY TOWNSHIP, MI 48317
Psychologist
47818 VAN DYKE AVE
SHELBY TWP, MI 48317
Psychologist (Clinical)
47818 VAN DYKE AVE
SHELBY TOWNSHIP, MI 48317
Clinic/Center (Mental Health (Including Community Mental Health Center))
47818 VAN DYKE AVE
SHELBY TWP, MI 48317
Counselor (Professional)
47818 VAN DYKE AVE
SHELBY TOWNSHIP, MI 48317
Nurse Practitioner (Psychiatric/Mental Health)
47818 VAN DYKE AVE
SHELBY TOWNSHIP, MI 48317

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 Maureen Bismack's NPI number?

The NPI number for Maureen Bismack is 1225862501. It was assigned to this individual provider in the NPPES registry on August 28, 2024.

Where is Maureen Bismack located?

Maureen Bismack practices at 47818 Van Dyke Ave, Shelby Township, MI 48317. The listed phone number is (248) 672-8978.

What is Maureen Bismack's specialty?

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

Is Maureen Bismack enrolled in Medicare?

Yes. Maureen Bismack is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Maureen Bismack's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Maureen Bismack reassigns Medicare benefits to Nexus Behavioral Health PLLC (Troy, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Maureen Bismack's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Maureen Bismack accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Maureen Bismack 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 Maureen Bismack was last updated on August 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.