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MICHIGAN STATE UNIVERSITY CLINICAL CENTER
NPI 1255629358
Clinical Neuropsychologist in East Lansing, MI

Active since July 11, 2011
804 SERVICE RD STE A114, EAST LANSING, MI 48824(517) 355-7648(517) 432-1319 Get Directions Write a Review

NPPES record last updated: April 13, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Michigan State University Clinical Center NPPES

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

MICHIGAN STATE UNIVERSITY CLINICAL CENTER (NPI 1255629358) is a healthcare organization registered as a clinical neuropsychologist in East Lansing, Michigan and active in the NPI registry since July 2011. The organization lists Cynthia Zaldokas, Mgr Provider Enrollment, as its authorized official.

NPPES Registry Identity

NPI1255629358
Entity TypeOrganization
Primary Taxonomy103G00000X
Legal Business NameMICHIGAN STATE UNIVERSITY CLINICAL CENTER
Location Address804 SERVICE RD STE A114East Lansing, MI 48824-7038
Mailing Address804 Service Rd Ste A114East Lansing, MI 48824-7038 · (517) 355-7648 · Fax (517) 432-1319
Phone(517) 355-7648
Fax(517) 432-1319
Organization SubpartNo
Authorized OfficialCynthia ZaldokasMgr Provider Enrollment · (517) 355-3503
Enumeration DateJuly 11, 2011
Last NPPES UpdateApril 13, 2012
✔ NPI 1255629358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License✔ Licensed in MI · 6301014684
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
Also ListedPsychologistTaxonomy 103T00000X · License 6301006498 (MI)
804 SERVICE RD STE A114, East Lansing, MI 48824
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Other Identifiers 1

Medicare PINC36082151MI

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

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 Michigan State University Clinical Center's NPI number?

The NPI number for Michigan State University Clinical Center is 1255629358. It was assigned to this organization in the NPPES registry on July 11, 2011.

Where is Michigan State University Clinical Center located?

Michigan State University Clinical Center is located at 804 Service Rd Ste A114, East Lansing, MI 48824. The listed phone number is (517) 355-7648.

What is Michigan State University Clinical Center's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

When was this NPI record last updated?

The NPPES record for Michigan State University Clinical Center was last updated on April 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.