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WELL-SPRING PSYCHIATRY, P.C.
NPI 1922112077
Psychiatry & Neurology - Psychiatry in Traverse City, MI

Active since August 18, 2006CLIA 23D2070368 · Waiver
1421 WAYNE ST, TRAVERSE CITY, MI 49684(231) 922-9625(231) 929-5594 Get Directions Write a Review

NPPES record last updated: April 18, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Well-spring Psychiatry, P.c. NPPES

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

WELL-SPRING PSYCHIATRY, P.C. (NPI 1922112077) is a healthcare organization registered as a psychiatry in Traverse City, Michigan and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through December 12, 2027 and lists Marilyn Eileen Conlon, President, as its authorized official.

NPPES Registry Identity

NPI1922112077
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameWELL-SPRING PSYCHIATRY, P.C.
Location Address1421 WAYNE STTraverse City, MI 49684-1432
Mailing AddressPo Box 107Lake Ann, MI 49650-0107 · (231) 922-9625 · Fax (231) 929-5594
Phone(231) 922-9625
Fax(231) 929-5594
Organization SubpartNo
Authorized OfficialMarilyn Eileen ConlonPresident · (231) 922-9625
Enumeration DateAugust 18, 2006
Last NPPES UpdateApril 18, 2008
✔ NPI 1922112077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
1421 WAYNE ST, Traverse City, MI 49684
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Other Identifiers 4

Medicare PIN0N25280MI
OtherP00075183MI · Rr Medicare
Medicare UPING48037MI
Medicaid4275243MI

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

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 ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D2070368

Well Spring Psychiatry PC · Traverse City, MI
Active · expires Dec 12, 2027
CLIA Number23D2070368
Laboratory TypeOutpt Psych Office
Certificate Effective DateDecember 13, 2025
Certificate Expiration DateDecember 12, 2027
Laboratory DirectorMarilyn E. Conlon
Laboratory Phone(231) 922-9625
Laboratory LocationWell Spring Psychiatry PC1305 E Eighth Street Suite B, Traverse City, MI 49684
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

MARILYN EILEEN CONLON M.D.,
Psychiatry & Neurology (Psychiatry)
1421 WAYNE ST
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 995-0959

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 Well-Spring Psychiatry, P.C.'s NPI number?

The NPI number for Well-Spring Psychiatry, P.C. is 1922112077. It was assigned to this organization in the NPPES registry on August 18, 2006.

Where is Well-Spring Psychiatry, P.C. located?

Well-Spring Psychiatry, P.C. is located at 1421 Wayne St, Traverse City, MI 49684. The listed phone number is (231) 922-9625.

What is Well-Spring Psychiatry, P.C.'s specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Does Well-Spring Psychiatry, P.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2070368) is associated with this NPI, valid through December 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Well-Spring Psychiatry, P.C. accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Well-Spring Psychiatry, P.C. 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 Well-Spring Psychiatry, P.C. was last updated on April 18, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.