LARSON SHOLANDER PHD
NPI 1306331517
Psychologist in Ann Arbor, MI

Active since June 29, 2018Opted out of Medicare · through Feb 27, 2027
2610 W LIBERTY ST, ANN ARBOR, MI 48103(734) 707-7736 Get Directions Write a Review

NPPES record last updated: July 15, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 15, 2022, Nov 30, 2021, Jul 23, 2021 and 1 more (4 updates tracked since 2018).

About Larson Sholander Phd NPPES

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

LARSON SHOLANDER PHD (NPI 1306331517) is an individual psychologist in Ann Arbor, Michigan, licensed in Michigan (6351004399) and active in the NPI registry since June 2018. He has opted out of Medicare through February 27, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1306331517
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameLARSON SHOLANDERCredential: PHD
Location Address2610 W LIBERTY STAnn Arbor, MI 48103-6560
Mailing Address2610 W Liberty StAnn Arbor, MI 48103-6560 · (734) 707-7736
Sole ProprietorNo
Enumeration DateJune 29, 2018
Last NPPES UpdateJuly 15, 20224 updates tracked since enumeration
NPPES CertifiedJuly 15, 2022
NPI 1306331517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MI · 6351004399
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.
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 6301019137 (MI)
2610 W LIBERTY ST, Ann Arbor, MI 48103

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Larson Sholander Phd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 27, 2025 through February 27, 2027.

Opt-Out Effective DateFebruary 27, 2025
Opt-Out In Effect ThroughFebruary 27, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 16

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

Social Worker
2610 W LIBERTY ST
ANN ARBOR, MI 48103
Student in an Organized Health Care Education/Training Program
2610 W LIBERTY ST
ANN ARBOR, MI 48103
Psychiatry & Neurology (Psychiatry)
2610 W LIBERTY ST
ANN ARBOR, MI 48103
Social Worker
2610 W LIBERTY ST
ANN ARBOR, MI 48103
Psychologist (Clinical)
2610 W LIBERTY ST
ANN ARBOR, MI 48103
Psychologist (Clinical)
2610 W LIBERTY ST
ANN ARBOR, MI 48103
Social Worker (Clinical)
2610 W LIBERTY ST
ANN ARBOR, MI 48103
Social Worker
2610 W LIBERTY ST
ANN ARBOR, MI 48103

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 Larson Sholander's NPI number?

The NPI number for Larson Sholander is 1306331517. It was assigned to this individual provider in the NPPES registry on June 29, 2018.

Where is Larson Sholander located?

Larson Sholander practices at 2610 W Liberty St, Ann Arbor, MI 48103. The listed phone number is (734) 707-7736.

What is Larson Sholander's specialty?

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

Is Larson Sholander enrolled in Medicare?

No. Larson Sholander has opted out of Medicare through February 27, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Larson Sholander was last updated on July 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.