1. Home
  2. Directory
  3. Michigan
  4. Waterford
  5. Psychiatry Neurology
  6. NPI Profile

GREAT LAKES NEUROMONITORING, PLLC
NPI 1457866873
Psychiatry & Neurology - Clinical Neurophysiology in Waterford, MI

Active since December 07, 2017
5119 HIGHLAND RD, (M-59) #389, WATERFORD, MI 48327(248) 309-6631 Get Directions Write a Review

NPPES record last updated: December 7, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Great Lakes Neuromonitoring, Pllc NPPES

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

GREAT LAKES NEUROMONITORING, PLLC (NPI 1457866873) is a healthcare organization registered as a clinical neurophysiology in Waterford, Michigan and active in the NPI registry since December 2017. The organization lists Lizette Morin, Mdms Npi Compliance Officer, as its authorized official.

NPPES Registry Identity

NPI1457866873
Entity TypeOrganization
Primary Taxonomy2084N0600X
Legal Business NameGREAT LAKES NEUROMONITORING, PLLC
Location Address5119 HIGHLAND RD, (M-59) #389Waterford, MI 48327-1915
Mailing Address5119 Highland Rd, (m-59) #389Waterford, MI 48327-1915 · (248) 309-6631
Phone(248) 309-6631
Organization SubpartNo
Authorized OfficialLizette MorinMdms Npi Compliance Officer · (210) 598-2801
Enumeration DateDecember 7, 2017
✔ NPI 1457866873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPsychiatry & Neurology · Clinical NeurophysiologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0600X
Definition
Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS).
Also ListedElectrodiagnostic MedicineTaxonomy 204R00000X
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X
Also ListedSpecialist/Technologist, Other · ElectroneurodiagnosticTaxonomy 246ZE0600X
5119 HIGHLAND RD, Waterford, MI 48327
Open in Google Maps ↗

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 2

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

FAST SOLUTION INC
Clinic/Center
5119 HIGHLAND RD, SUITE 398
WATERFORD, MI 48327
Oakland County (352) 216-4859
PUBLIC WELLNESS ASISTANCE INC
Clinic/Center (Primary Care)
5119 HIGHLAND RD, SUITE 391
WATERFORD, MI 48327
Oakland County (248) 773-2705

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 Neuromonitoring, PLLC's NPI number?

The NPI number for Great Lakes Neuromonitoring, PLLC is 1457866873. It was assigned to this organization in the NPPES registry on December 7, 2017.

Where is Great Lakes Neuromonitoring, PLLC located?

Great Lakes Neuromonitoring, PLLC is located at 5119 Highland Rd (m-59) #389, Waterford, MI 48327. The listed phone number is (248) 309-6631.

What is Great Lakes Neuromonitoring, PLLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Clinical Neurophysiology, with taxonomy code 2084N0600X.

When was this NPI record last updated?

The NPPES record for Great Lakes Neuromonitoring, PLLC was last updated on December 7, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.