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SUPPORTIVE CARE OF MICHIGAN LLC
NPI 1659030591
Psychologist - Clinical in Iron River, MI

Active since December 08, 2021
330 LINCOLN AVE, IRON RIVER, MI 49935(718) 298-2753 Get Directions Write a Review

NPPES record last updated: December 8, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Supportive Care Of Michigan Llc NPPES

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

SUPPORTIVE CARE OF MICHIGAN LLC (NPI 1659030591) is a healthcare organization registered as a clinical in Iron River, Michigan and active in the NPI registry since December 2021. The organization lists Raphael Lichtschein, President, as its authorized official.

NPPES Registry Identity

NPI1659030591
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameSUPPORTIVE CARE OF MICHIGAN LLC
Location Address330 LINCOLN AVEIron River, MI 49935-8452
Mailing Address27 Randolph RdHowell, NJ 07731-8611 · (718) 298-2753
Phone(718) 298-2753
Organization SubpartNo
Authorized OfficialRaphael LichtscheinPresident · (718) 298-4375
Enumeration DateDecember 8, 2021
NPPES CertifiedDecember 8, 2021
✔ NPI 1659030591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
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.
330 LINCOLN AVE, Iron River, MI 49935
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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 4

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

ANNA JANE OOSTERBAAN LCSW
Social Worker (Clinical)
330 LINCOLN AVE
IRON RIVER, MI 49935
Iron County (718) 506-1115
IRON RIVER CARE SERVICES INC.
Skilled Nursing Facility
330 LINCOLN AVE
IRON RIVER, MI 49935
Iron County (906) 265-5168
SUPPORTIVE CARE I OF MICHIGAN PC
Psychologist (Clinical)
330 LINCOLN AVE
IRON RIVER, MI 49935
Iron County (718) 506-1115
ERIN PAIROLERO
Speech-Language Pathologist
330 LINCOLN AVE
IRON RIVER, MI 49935
Iron County (906) 225-5044

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 Supportive Care Of Michigan LLC's NPI number?

The NPI number for Supportive Care Of Michigan LLC is 1659030591. It was assigned to this organization in the NPPES registry on December 8, 2021.

Where is Supportive Care Of Michigan LLC located?

Supportive Care Of Michigan LLC is located at 330 Lincoln Ave, Iron River, MI 49935. The listed phone number is (718) 298-2753.

What is Supportive Care Of Michigan LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Supportive Care Of Michigan LLC was last updated on December 8, 2021. 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.