Healthcare Provider Details

I. General information

NPI: 1851361554
Provider Name (Legal Business Name): FAMILY PSYCHIATRIC CONSULTANTS, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/25/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3887 OKEMOS RD SUITE A4
OKEMOS MI
48864-3664
US

IV. Provider business mailing address

3887 OKEMOS RD SUITE A4
OKEMOS MI
48864-3664
US

V. Phone/Fax

Practice location:
  • Phone: 517-381-0111
  • Fax: 517-381-0444
Mailing address:
  • Phone: 517-381-0111
  • Fax: 517-381-0444

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: PAT OLSON
Title or Position: OFFICE MANAGER
Credential:
Phone: 517-381-0111