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

Great Lakes Psychological Associates PLLC

Organization Clinical Psychologist · NPI 1205205747

Great Lakes Psychological Associates PLLC is a Clinical Psychologist in Mt Pleasant, Michigan. Licensed in Michigan. Registered with an NPI since 2015.

Licensed in
MI
In the registry since
2015
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

400 S University Ave
Mt Pleasant, MI 48858-3170
Phone: (989) 317-3188
Fax: (989) 202-1888
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 6301014926 (MI)

Record details

NPI number1205205747
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeremy Moeggenberg — Owner · (989) 317-3188
NPI enumeratedSeptember 15, 2015
Last updated in NPPESJanuary 4, 2019
Mailing address400 S University Ave, Mt Pleasant, MI 48858-3170

Other providers in Mt Pleasant