GRAND BLANC PSYCHOLOGY PLLC
NPI 1649661794
Psychologist in Grand Blanc, MI

NPI Status: Active since February 11, 2015

Contact Information

8382 HOLLY RD
SUITE 1
GRAND BLANC, MI
ZIP 48439
Phone: (269) 277-3013

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  • Organization
  • Psychologist
  • CLIA Number: 23D2205052
  • CLIA Cert. Type: Assisted Living Facility
  • CLIA Exp. Date: 12-10-2026

About GRAND BLANC PSYCHOLOGY PLLC

This page provides the complete NPI Profile along with additional information for Grand Blanc Psychology Pllc, a provider established in Grand Blanc, Michigan operating as a Psychologist. The healthcare provider is registered in the NPI registry with number 1649661794 assigned on February 2015. The practitioner's primary taxonomy code is 103T00000X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Mr. Thomas Starzynski Llp (Director)

NPI
1649661794
Provider Name
GRAND BLANC PSYCHOLOGY PLLC
Entity Type
Organization
Location Address
8382 HOLLY RD SUITE 1 GRAND BLANC, MI 48439
Location Phone
(269) 277-3013
Mailing Address
8382 HOLLY RD SUITE 1 GRAND BLANC, MI 48439
Mailing Phone
(269) 277-3013
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-11-2015
Last Update Date
02-11-2015
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A psychologist like Grand Blanc Psychology Pllc studies cognitive, emotional, social processes and behavior by observing, interpreting, and recording how people relate to one another and to their environments. Psychologists gather information and evaluate behavior through controlled laboratory experiments, psychoanalysis, psychotherapy or through personality, performance, aptitude, or intelligence tests, and use this information when testing theories in their research or when treating patients.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychologist

Taxonomy Code
103T00000X
Type
Behavioral Health & Social Service Providers
License State
MI
Taxonomy Description
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. THOMAS STARZYNSKI LLP

Authorized Official Title
DIRECTOR
Authorized Official Phone
(269) 277-3013

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
23D2205052
Facility Type
Assisted Living Facility
Certificate Effective Date
December 11, 2024
Certificate Expiration Date
December 10, 2026
Laboratory Director
WENDI S. UNDERWOOD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Grand Blanc Psychology Pllc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1649661794
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26891262718
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 8 + 9 + 1 + 2 + 6 + 2 + 7 + 1 + 8 + 24 = 76
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 76 = 44

The NPI number 1649661794 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1225183429DR. HABIB KHALID AKRAWI M.D.
Individual
Pediatrics8382 HOLLY RD SUITE 1
GRAND BLANC, MI 48439
(810) 694-9110
1952675670M MAUREAU DO PLLC
Organization
General Practice8382 HOLLY RD STE 2
GRAND BLANC, MI 48439
(810) 820-9438
1891735148DR. OSAMA GALAL M.D.
Individual
Internal Medicine8382 HOLLY RD SUITE 2
GRAND BLANC, MI 48439
(810) 771-0010
1396381752DR. REBECCA SUE TOTH FNP-C
Individual
Nurse Practitioner (Pediatrics)8382 HOLLY RD
GRAND BLANC, MI 48439
(810) 694-9110

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1649661794, enumerated in the NPI registry as an "organization" on February 11, 2015

The provider is located at 8382 Holly Rd Suite 1 Grand Blanc, Mi 48439 and the phone number is (269) 277-3013

This medical organization specializes in Psychologist with taxonomy code 103T00000X

The provider's CLIA number is 23D2205052 for a "assisted living facility" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on February 11, 2015. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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