PSYCHOLOGICAL PROFESSIONAL SERVICES
NPI 1518329671
Psychologist - Clinical in Clinton Township, MI

Q: What is Psychological Professional Services's NPI number?

The NPI number for Psychological Professional Services is 1518329671. It was assigned to this organization in the NPPES registry on March 27, 2016.

Q: What is Psychological Professional Services's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since March 27, 2016

38800 GARFIELD RD STE 100, CLINTON TOWNSHIP, MI 48038(586) 231-0306(586) 231-0307 Get Directions Write a Review

NPPES record last updated: March 14, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 6, 2021, Feb 4, 2020, Mar 27, 2016 (3 updates tracked since 2016).

On this page

About Psychological Professional Services NPPES

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

PSYCHOLOGICAL PROFESSIONAL SERVICES (NPI 1518329671) is a healthcare organization registered as a clinical in Clinton Township, Michigan and active in the NPI registry since March 2016. The organization maintains a secondary practice location in Flint and lists Cheryl Ann Lewis, Clinical Director, as its authorized official.

NPPES Registry Identity

NPI1518329671

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NamePSYCHOLOGICAL PROFESSIONAL SERVICES

Location Address38800 GARFIELD RD STE 100Clinton Township, MI 48038-6619

Mailing Address38800 Garfield Rd Ste 100Clinton Township, MI 48038-6619 · (586) 231-0306 · Fax (586) 231-0307

Phone(586) 231-0306

Fax(586) 231-0307

Organization SubpartNo

Authorized OfficialCheryl Ann LewisClinical Director · (586) 231-0306

Enumeration DateMarch 27, 2016

Last NPPES UpdateMarch 14, 20223 updates tracked since enumeration

NPPES CertifiedMarch 14, 2022

✔ NPI 1518329671 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in MI · 6301011383

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

38800 GARFIELD RD STE 100, Clinton Township, MI 48038

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Secondary Practice Location 1

Location 12425 S Linden Rd Ste D118Flint, MI 48532-5481 · Phone (810) 820-6656 · Fax (586) 231-0307

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Psychological Professional Services is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Psychological Professional Services, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Destiny Ventimiglia, LMSW

Clinical Social Worker

NPI 1215502265

38800 GARFIELD RD STE 100
Clinton Township, MI 48038

(586) 231-0306

✔ PECOS✔ Accepts MedicareSame address

Rachel Moore, MSW, DOULA

Clinical Social Worker

NPI 1306191192

420 W 5TH AVE
Flint, MI 48503

(810) 257-3700

✔ PECOS✔ Accepts Medicare49 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Psychological Professional Services's NPI number?

The NPI number for Psychological Professional Services is 1518329671. It was assigned to this organization in the NPPES registry on March 27, 2016.

Where is Psychological Professional Services located?

Psychological Professional Services is located at 38800 Garfield Rd Ste 100, Clinton Township, MI 48038. The listed phone number is (586) 231-0306.

What is Psychological Professional Services's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Psychological Professional Services enrolled in Medicare?

Yes. Psychological Professional Services is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Psychological Professional Services?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Clinical Social Worker, reassign their Medicare billing to Psychological Professional Services. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Psychological Professional Services accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Psychological Professional Services as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Psychological Professional Services was last updated on March 14, 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.