PREMIER PSYCHOLOGICAL SERVICES, PLLC
NPI 1619109501
Psychologist - Clinical in Marquette, MI

Active since August 11, 2009
1300 W RIDGE ST, SUITE 2, MARQUETTE, MI 49855(906) 228-6200(906) 228-6244 Get Directions Write a Review

NPPES record last updated: September 22, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Sep 22, 2022, Feb 11, 2020 (2 updates tracked since 2020).

About Premier Psychological Services, Pllc NPPES

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

PREMIER PSYCHOLOGICAL SERVICES, PLLC (NPI 1619109501) is a healthcare organization registered as a clinical in Marquette, Michigan and active in the NPI registry since August 2009. The organization lists Gregory Sansom Jones, Sole Proprietor, as its authorized official.

NPPES Registry Identity

NPI1619109501
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NamePREMIER PSYCHOLOGICAL SERVICES, PLLC
Location Address1300 W RIDGE ST, SUITE 2Marquette, MI 49855-3194
Mailing Address1300 W Ridge St, Suite 2Marquette, MI 49855-3194 · (906) 228-6200 · Fax (906) 228-6244
Fax(906) 228-6244
Organization SubpartNo
Authorized OfficialGregory Sansom JonesSole Proprietor · (906) 228-6200
Enumeration DateAugust 11, 2009
Last NPPES UpdateSeptember 22, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 22, 2022
✔ NPI 1619109501 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 · 6301010832
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.
1300 W RIDGE ST, Marquette, MI 49855

Other Identifiers 2

Other0E20205MI · Bcbs Provider
Other0E20193MI · Bcbs

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

Accepted 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)

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

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Premier Psychological Services, PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Psychologist
NPI 1245214451
1300 W RIDGE ST STE 2
Marquette, MI 49855
(906) 228-6200
✔ PECOS✔ Accepts MedicareSame address

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 Premier Psychological Services, PLLC's NPI number?

The NPI number for Premier Psychological Services, PLLC is 1619109501. It was assigned to this organization in the NPPES registry on August 11, 2009.

Where is Premier Psychological Services, PLLC located?

Premier Psychological Services, PLLC is located at 1300 W Ridge St Suite 2, Marquette, MI 49855. The listed phone number is (906) 228-6200.

What is Premier Psychological Services, PLLC's specialty?

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

Is Premier Psychological Services, PLLC enrolled in Medicare?

Yes. Premier Psychological Services, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Premier Psychological Services, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Premier Psychological Services, PLLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Premier Psychological Services, PLLC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Premier Psychological Services, PLLC 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 Premier Psychological Services, PLLC was last updated on September 22, 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.