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

Lake Michigan Psychological Services LLC

Organization Clinical Psychologist · NPI 1811884976

Lake Michigan Psychological Services LLC is a Clinical Psychologist in Traverse City, Michigan. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

440 W Frnt ST Ste 150B
Traverse City, MI 49684-2265
Phone: (231) 492-0718
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X
Group Psychotherapy Psychologist Taxonomy 103TP2701X

Record details

NPI number1811884976
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kyle Byrnes — Presedent · (586) 601-5495
NPI enumeratedJune 20, 2025
Last updated in NPPESJune 20, 2025
Certification dateJune 20, 2025
Mailing address440 W Front St Ste 150b, Traverse City, MI 49684-2265

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