LAKE MICHIGAN PSYCHOLOGICAL SERVICES LLC
NPI 1811884976
Psychologist - Clinical in Traverse City, MI

Q: What is Lake Michigan Psychological Services LLC's specialty?

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

Active since June 20, 2025

440 W FRONT ST STE 150B, TRAVERSE CITY, MI 49684(231) 492-0718 Get Directions Write a Review

NPPES record last updated: June 20, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Lake Michigan Psychological Services Llc NPPES

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

LAKE MICHIGAN PSYCHOLOGICAL SERVICES LLC (NPI 1811884976) is a healthcare organization registered as a clinical in Traverse City, Michigan and active in the NPI registry since June 2025. The organization lists Kyle R Byrnes, Presedent, as its authorized official.

NPPES Registry Identity

NPI1811884976

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameLAKE MICHIGAN PSYCHOLOGICAL SERVICES LLC

Location Address440 W FRONT ST STE 150BTraverse City, MI 49684-2265

Mailing Address440 W Front St Ste 150bTraverse City, MI 49684-2265 · (231) 492-0718

Phone(231) 492-0718

Organization SubpartNo

Authorized OfficialKyle R ByrnesPresedent · (586) 601-5495

Enumeration DateJune 20, 2025

NPPES CertifiedJune 20, 2025

✔ NPI 1811884976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.

Also ListedPsychologist · Group PsychotherapyTaxonomy 103TP2701X

440 W FRONT ST STE 150B, Traverse City, MI 49684

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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

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 ›

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 Lake Michigan Psychological Services LLC's NPI number?

The NPI number for Lake Michigan Psychological Services LLC is 1811884976. It was assigned to this organization in the NPPES registry on June 20, 2025.

Where is Lake Michigan Psychological Services LLC located?

Lake Michigan Psychological Services LLC is located at 440 W Front St Ste 150B, Traverse City, MI 49684. The listed phone number is (231) 492-0718.

What is Lake Michigan Psychological Services LLC's specialty?

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

What insurance does Lake Michigan Psychological Services LLC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Lake Michigan Psychological Services LLC 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 Lake Michigan Psychological Services LLC was last updated on June 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.