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Marika Orme , MS LLP

Psychologist β€’ Southgate, MI

Active NPI 1396995403 Individual Practitioner Female Practitioner
Practice location in NPPES

19401 Northline Rd
Southgate, MI 481952277

Call 7347857700 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

19401 Northline Rd

Southgate, MI 481952277

Telephone 7347857700
Organization at the Same NPPES Address or Phone
The Guidance Center Facility NPI 1730376252

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2008

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Southgate and Michigan

40 active clinicians are listed under Psychologist with a practice address in Southgate, MI (2,549 in Michigan).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Southgate

0% of these 40 clinicians have the CMS telehealth indicator.

5% of these 40 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-08-28
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

License # reported to NPPES MI 6361000224

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.

Psychologist

NUCC Taxonomy Code: 103T00000X

License # reported to NPPES MI 6301013875

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Michigan Department of Licensing and Regulatory Affairs.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

4 listed
Dr. Nalini Agarwal , MD

Psychiatry & Neurology - Psychiatry

NPI 1073603213

Doctor of Medicine (M.D.)

Shannon Baynai

Social Worker - Clinical

NPI 1003334277
Jacqueline Kaba , LMSW

Social Worker - Clinical

NPI 1104160837

Licensed Master Social Worker

Joan Placido , LMSW

Social Worker

NPI 1033428313

Licensed Master Social Worker

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

12 Historical Events
πŸ“
Updated Practice Location August 28, 2024

Registered at 19401 NORTHLINE RD, SOUTHGATE, MI 481952277 (Tel: 7347857700)

πŸ“
Updated Business Mailing Address August 28, 2024

Registered at 21840 E CHIPMUNK TRL, WOODHAVEN, MI 481831508

πŸ“
Updated Practice Location April 29, 2021

Registered at 707 W MILWAUKEE ST, DETROIT, MI 482022943 (Tel: 3133449099)

πŸ“
Updated Business Mailing Address April 29, 2021

Registered at 707 W MILWAUKEE ST, DETROIT, MI 482022943

πŸ‘€
Provider Name / Credentials Updated April 29, 2021

Recorded as MARIKA ORME, MS LLP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 29, 2021

Psychologist (license number reported to NPPES: MI 6361000224)

βœ…
NPI Profile Active April 01, 2010

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) April 01, 2010

Registered at 17321 TELEGRAPH RD, DETROIT, MI 482193132 (Tel: 3135312500)

πŸ“
Business Mailing Address (Initial Record) April 01, 2010

Registered at 17321 TELEGRAPH RD, DETROIT, MI 482193132

πŸ‘€
Provider Name / Credentials (Initial Record) April 01, 2010

Recorded as MARIKA SHACKELFORD, MS TLLP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 01, 2010

Psychologist (license number reported to NPPES: MI 6301013875)

🟒
Initial NPI Registration & Enumeration September 25, 2008

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1396995403
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 25, 2008
Last Update: August 28, 2024
Sole Proprietor: No

Mailing Address

21840 E Chipmunk Trl

Woodhaven, MI 481831508

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.