LAKESHORE PSYCHOLOGICAL SERVICES
NPI 1508927658
Counselor - Mental Health in Saint Clair Shores, MI
NPI Status: Active since December 13, 2006
Contact Information
22811 GREATER MACK AVE
SUITE L-3
SAINT CLAIR SHORES, MI
ZIP 48080
Phone: (586) 777-0470
- Organization
- Counselor
- Mental Health
- CLIA Number: 23D0877275
- CLIA Cert. Type: Ambulatory Surgery Center
- CLIA Exp. Date: 09-29-2027
About LAKESHORE PSYCHOLOGICAL SERVICES
This page provides the complete NPI Profile along with additional information for Lakeshore Psychological Services, a provider established in Saint Clair Shores, Michigan operating as a Counselor, focusing in mental health . The healthcare provider is registered in the NPI registry with number 1508927658 assigned on December 2006. The practitioner's primary taxonomy code is 101YM0800X with license number 6301002572 (MI). The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. John A Ryan Ph.d. (Owner)
- NPI
- 1508927658
- Provider Name
- LAKESHORE PSYCHOLOGICAL SERVICES
- Entity Type
- Organization
- Location Address
- 22811 GREATER MACK AVE SUITE L-3 SAINT CLAIR SHORES, MI 48080
- Location Phone
- (586) 777-0470
- Mailing Address
- 22811 GREATER MACK AVE SUITE L-3 SAINT CLAIR SHORES, MI 48080
- Mailing Phone
- (586) 777-0470
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-13-2006
- Last Update Date
- 08-22-2020
- Code Navigator
A mental health counselor like Lakeshore Psychological Services provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Mental Health
- Taxonomy Code
- 101YM0800X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 6301002572
- License State
- MI
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 23D0877275
- Facility Type
- Ambulatory Surgery Center
- Certificate Effective Date
- September 30, 2025
- Certificate Expiration Date
- September 29, 2027
- Laboratory Director
- JAMES W. KLEIN, MD
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Lakeshore Psychological Services to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1508927658, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 62 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
ST CLAIR SHORES, MI 48080
SAINT CLAIR SHORES, MI 48080
SAINT CLAIR SHORES, MI 48080
SAINT CLAIR SHORES, MI 48080
ST CLAIR SHORES, MI 48080
SAINT CLAIR SHORES, MI 48080
SAINT CLAIR SHORES, MI 48080
SAINT CLAIR SHORES, MI 48080
SAINT CLAIR SHORES, MI 48080
SAINT CLAIR SHORES, MI 48080
SAINT CLAIR SHORES, MI 48080
SAINT CLAIR SHORES, MI 48080
SAINT CLAIR SHORES, MI 48080
SAINT CLAIR SHORES, MI 48080
SAINT CLAIR SHORES, MI 48080
SAINT CLAIR SHORES, MI 48080
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1508927658, enumerated as an "organization" on December 13, 2006.
The provider is located at 22811 GREATER MACK AVE SUITE L-3 SAINT CLAIR SHORES, MI 48080 and the phone number is (586) 777-0470.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
