Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Great Lakes Comprehensive Psychological Services

Organization Clinical Social Worker · NPI 1992336457

Great Lakes Comprehensive Psychological Services is a Clinical Social Worker in Jackson, Michigan. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2

Practice location Address checks out

1200 N West Ave Ste 812
Jackson, MI 49202-2180
Phone: (517) 783-4418
Fax: (517) 783-4504
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X
Psychiatry Physician Taxonomy 2084P0800X

Record details

NPI number1992336457
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marhta Catherine Kelley — Owner · (517) 783-4418
NPI enumeratedFebruary 3, 2020
Last updated in NPPESFebruary 3, 2020
Certification dateFebruary 3, 2020
Mailing address1200 N West Ave Ste 812, Jackson, MI 49202-2180

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