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GREAT LAKES COMPREHENSIVE PSYCHOLOGICAL SERVICES
NPI 1992336457
Social Worker - Clinical in Jackson, MI

Active since February 03, 2020
1200 N WEST AVE STE 812, JACKSON, MI 49202(517) 783-4418(517) 783-4504 Get Directions Write a Review

NPPES record last updated: February 3, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Great Lakes Comprehensive Psychological Services NPPES

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

GREAT LAKES COMPREHENSIVE PSYCHOLOGICAL SERVICES (NPI 1992336457) is a healthcare organization registered as a clinical in Jackson, Michigan and active in the NPI registry since February 2020. The organization lists Marhta Catherine Kelley, Owner, as its authorized official.

NPPES Registry Identity

NPI1992336457
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameGREAT LAKES COMPREHENSIVE PSYCHOLOGICAL SERVICES
Location Address1200 N WEST AVE STE 812Jackson, MI 49202-2180
Mailing Address1200 N West Ave Ste 812Jackson, MI 49202-2180 · (517) 783-4418 · Fax (517) 783-4504
Phone(517) 783-4418
Fax(517) 783-4504
Organization SubpartNo
Authorized OfficialMarhta Catherine KelleyOwner · (517) 783-4418
Enumeration DateFebruary 3, 2020
✔ NPI 1992336457 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
1200 N WEST AVE STE 812, Jackson, MI 49202
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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

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

JOHN S HAND PHD PC & ASSOCIATES
Psychologist
1200 N WEST AVE STE 812
JACKSON, MI 49202
Jackson County (517) 783-4418

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 Great Lakes Comprehensive Psychological Services's NPI number?

The NPI number for Great Lakes Comprehensive Psychological Services is 1992336457. It was assigned to this organization in the NPPES registry on February 3, 2020.

Where is Great Lakes Comprehensive Psychological Services located?

Great Lakes Comprehensive Psychological Services is located at 1200 N West Ave Ste 812, Jackson, MI 49202. The listed phone number is (517) 783-4418.

What is Great Lakes Comprehensive Psychological Services's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Great Lakes Comprehensive Psychological Services was last updated on February 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.