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CHARLY DOLAN
NPI 1821689522
Psychologist - Clinical in Howell, MI

Active since January 27, 2021
323 E GRAND RIVER AVE, HOWELL, MI 48843(989) 510-7626 Get Directions Write a Review

NPPES record last updated: August 23, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 23, 2023, Jan 27, 2021 (2 updates tracked since 2021).

About Charly Dolan NPPES

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

CHARLY DOLAN (NPI 1821689522) is an individual clinical provider in Howell, Michigan, licensed in Michigan (6362009794) and active in the NPI registry since January 2021. She maintains a secondary practice location in Farmington Hills and is a graduate of Michigan State University College Of Human Medicine (2023).

NPPES Registry Identity

NPI1821689522
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameCHARLY DOLAN
Location Address323 E GRAND RIVER AVEHowell, MI 48843-2322
Mailing Address27777 Inkster Rd Ste 100Farmington Hills, MI 48334-5312 · (248) 436-4400
Phone(989) 510-7626
Sole ProprietorNo
Medical School CMSMichigan State University College Of Human MedicineGraduated 2023
Enumeration DateJanuary 27, 2021
Last NPPES UpdateAugust 23, 20232 updates tracked since enumeration
NPPES CertifiedAugust 23, 2023
✔ NPI 1821689522 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 · 6362009794
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.
323 E GRAND RIVER AVE, Howell, MI 48843
Open in Google Maps ↗

Secondary Practice Location 1

Location 127777 Inkster Rd Ste 100Farmington Hills, MI 48334-5312 · Phone (248) 436-4400

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Charly Dolan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2163913237
PECOS Enrollment IDI20251117002398

Medicare Billing Reassignment

Medicare enrollment records show Charly Dolan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinton County Medical Center Psychological Services PLLC
41 mi
Family Medicine
1505 WATERFORD PKWY
Saint Johns, MI 48879
  • Reassigned Medicare billing, Michigan enrollment
  • 35 clinicians in this Medicare group
NPI 1538973144 (989) 292-3572

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

Other Providers at the Same Location NPPES 8

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

MORGAN ELIZABETH MCKINNEY LLP
Psychologist (Clinical)
323 E GRAND RIVER AVE
HOWELL, MI 48843
Livingston County (517) 273-9033
ASHLEY N MARTIN LLMSW
Social Worker (Clinical)
323 E GRAND RIVER AVE
HOWELL, MI 48843
Livingston County (762) 698-9510
JASON MICHAEL WEAVER LLPC
Counselor (Mental Health)
323 E GRAND RIVER AVE
HOWELL, MI 48843
Livingston County (989) 510-7626
MS. HOPE MARIE JENNINGS LLMSW
Social Worker (Clinical)
323 E GRAND RIVER AVE
HOWELL, MI 48843
Livingston County (989) 292-3572
MARGARET ROSE MCCOY
Social Worker (Clinical)
323 E GRAND RIVER AVE
HOWELL, MI 48843
Livingston County (989) 510-7626
JACOB LEE KELLENBERGER MS, TLLP
Psychologist (Clinical)
323 E GRAND RIVER AVE
HOWELL, MI 48843
Livingston County (909) 510-7626
ELEANOR GRACE JEFFREY TLLP
Psychologist (Clinical)
323 E GRAND RIVER AVE
HOWELL, MI 48843
Livingston County (989) 510-7626
HANNA HALLER
Psychologist
323 E GRAND RIVER AVE
HOWELL, MI 48843
Livingston County (517) 273-9033

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 Charly Dolan's NPI number?

The NPI number for Charly Dolan is 1821689522. It was assigned to this individual provider in the NPPES registry on January 27, 2021.

Where is Charly Dolan located?

Charly Dolan practices at 323 E Grand River Ave, Howell, MI 48843. The listed phone number is (989) 510-7626.

What is Charly Dolan's specialty?

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

Is Charly Dolan enrolled in Medicare?

Yes. Charly Dolan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Charly Dolan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charly Dolan reassigns Medicare benefits to Clinton County Medical Center Psychological Services PLLC (Saint Johns, MI). The 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 Charly Dolan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Charly Dolan accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Charly Dolan 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 Charly Dolan was last updated on August 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.