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LAKESHORE PSYCHOLOGICAL SERVICES
NPI 1508927658
Counselor - Mental Health in Saint Clair Shores, MI

Active since December 13, 2006
22811 GREATER MACK AVE, SUITE L-3, SAINT CLAIR SHORES, MI 48080(586) 777-0470 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 22, 2020, Jun 21, 2018 (2 updates tracked since 2018).

About Lakeshore Psychological Services NPPES

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

LAKESHORE PSYCHOLOGICAL SERVICES (NPI 1508927658) is a healthcare organization registered as a mental health in Saint Clair Shores, Michigan and active in the NPI registry since December 2006. The organization lists John A Ryan, Owner, as its authorized official.

NPPES Registry Identity

NPI1508927658
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameLAKESHORE PSYCHOLOGICAL SERVICES
Location Address22811 GREATER MACK AVE, SUITE L-3Saint Clair Shores, MI 48080-2021
Mailing Address22811 Greater Mack Ave, Suite L-3Saint Clair Shores, MI 48080-2021 · (586) 777-0470
Phone(586) 777-0470
Organization SubpartNo
Authorized OfficialJohn A RyanOwner · (586) 777-0470
Enumeration DateDecember 13, 2006
Last NPPES UpdateAugust 22, 20202 updates tracked since enumeration
✔ NPI 1508927658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in MI · 6301002572
22811 GREATER MACK AVE, Saint Clair Shores, MI 48080
Open in Google Maps ↗

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

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.

MR. JOHN M. HRIBLJAN M.S.W.
Social Worker (Clinical)
22811 GREATER MACK AVE, SUITE 107
SAINT CLAIR SHORES, MI 48080
Macomb County (586) 775-2511
MR. DON THADDEUS GALVIN III LMSW
Social Worker (Clinical)
22811 GREATER MACK AVE, L-2
SAINT CLAIR SHORES, MI 48080
Macomb County (586) 335-2006
BELINDA ALIAHMAD
Social Worker (Clinical)
22811 GREATER MACK AVE
SAINT CLAIR SHORES, MI 48080
Macomb County (586) 335-2006
DR. ANDREA MARIA ABESSINIO D.O.
Obstetrics & Gynecology
22811 GREATER MACK AVE, SUITE 106
SAINT CLAIR SHORES, MI 48080
Macomb County (586) 772-6822
ERICA SAGESE
Psychologist (Counseling)
22811 GREATER MACK AVE
SAINT CLAIR SHORES, MI 48080
Macomb County (586) 335-2006
MS. SUSANNE E CONSIGLIO RD
Dietitian, Registered
22811 GREATER MACK AVE, SUITE 105
SAINT CLAIR SHORES, MI 48080
Macomb County (586) 778-4877
DR. JOHN A RYAN PH.D.
Counselor (Mental Health)
22811 GREATER MACK AVE, SUITE L-3
SAINT CLAIR SHORES, MI 48080
Macomb County (586) 777-3988
DR. JUDY A MCCOWN PH.D.
Psychologist (Clinical)
22811 GREATER MACK AVE, SUITE L-3
SAINT CLAIR SHORES, MI 48080
Macomb County (586) 777-3988

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 Lakeshore Psychological Services's NPI number?

The NPI number for Lakeshore Psychological Services is 1508927658. It was assigned to this organization in the NPPES registry on December 13, 2006.

Where is Lakeshore Psychological Services located?

Lakeshore Psychological Services is located at 22811 Greater Mack Ave Suite L-3, Saint Clair Shores, MI 48080. The listed phone number is (586) 777-0470.

What is Lakeshore Psychological Services's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Lakeshore Psychological Services was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.