Great Lakes Psychology Group – Community/Behavioral Health Agency, NPI 1679739700
Community/Behavioral Health Agency
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Great Lakes Psychology Group
1560 Wall St Ste 204
Naperville, IL 605631146
Phone: (800) 693-1916
Fax: (248) 605-3525
Type: Location
3131 S State St Ste 226
Ann Arbor, MI 481081658
Phone: (800) 693-1916
Fax: (248) 605-3525
Type: Location
640 3 Mile Rd NW Ste G
Grand Rapids, MI 495448209
Phone: (800) 693-1916
Fax: (248) 605-3525
Type: Location
4341 S Westnedge Ave Ste 1205
Kalamazoo, MI 490083284
Phone: (800) 693-1916
Fax: (248) 605-3525
Type: Location
17940 Farmington Rd
Livonia, MI 481524444
Phone: (800) 693-1916
Fax: (248) 605-3525
Type: Location
89 W South Blvd
Troy, MI 480851611
Phone: (800) 693-1916
Fax: (248) 605-3525
Type: Location
1843 R W Berends Dr SW
Wyoming, MI 495194955
Phone: (800) 693-1916
Fax: (248) 605-3525
Type: Location
6548 TOWN CENTER DR STE D
CLARKSTON, MI 48346
Phone: (800) 693-1916
Fax: (248) 605-3525
Type: Location
Press Box, East Glenn Avenue, Glen Haven, Auburn, Lee County, Alabama, 36949, United States
AUBURN HILLS, MI 483210550
Phone: (800) 693-1916
Fax: (248) 605-3525
Type: Mailing
2127 University Park Dr Ste 300
Okemos, MI 488645928
Phone: (800) 693-1916
Fax: (248) 605-3525
Type: Location
51 S Washington St Ste F
Oxford, MI 483716418
Phone: (800) 693-1916
Fax: (248) 605-3525
Type: Location
30150 Telegraph Rd Ste 245
Bingham Farms, MI 480254521
Phone: (800) 693-1916
Fax: (248) 605-3525
Type: Location
38600 Van Dyke Ave Ste 101
Sterling Heights, MI 483121171
Phone: (800) 693-1916
Fax: (248) 605-3525
Type: Location
735 S Garfield Ave Ste 200
Traverse City, MI 496863471
Phone: (800) 693-1916
Fax: (248) 605-3525
Type: Location
2710 E Lincoln St Ste 2
Bloomington, IL 617046010
Phone: (800) 693-1916
Fax: (248) 605-3525
Type: Location
1110 W Lake Cook Rd Ste 370
Buffalo Grove, IL 600891991
Phone: (800) 693-1916
Fax: (248) 605-3525
Type: Location
405 E Ash Ave Ste C
Decatur, IL 625266117
Phone: (800) 693-1916
Fax: (248) 605-3525
Type: Location
1400 E Touhy Ave Ste 250
Des Plaines, IL 600183339
Phone: (800) 693-1916
Fax: (248) 605-3525
Type: Location
2250 Point Blvd Ste 101
Elgin, IL 601237869
Phone: (800) 693-1916
Fax: (248) 605-3525
Type: Location
1800 Nations Dr Ste 207
Gurnee, IL 600319173
Phone: (800) 693-1916
Fax: (248) 605-3525
Type: Location
51 W Jackson St Ste 215
Joliet, IL 604322175
Phone: (800) 693-1916
Fax: (248) 605-3525
Type: Location
1910 S Highland Ave Ste 320
Lombard, IL 601486192
Phone: (800) 693-1916
Fax: (248) 605-3525
Type: Location
1639 N Alpine Rd Ste 404
Rockford, IL 611071440
Phone: (800) 693-1916
Fax: (248) 605-3525
Type: Location
1051 Perimeter Dr Ste 700
Schaumburg, IL 601735855
Phone: (800) 693-1916
Fax: (248) 605-3525
Type: Location
7820 Graphic Dr Ste 100
Tinley Park, IL 604776275
Phone: (800) 693-1916
Fax: (248) 605-3525
Type: Location
2923 Marketplace Dr Ste 204
Fitchburg, WI 537195321
Phone: (800) 693-1916
Fax: (248) 605-3525
Type: Location
707 W Moreland Blvd Ste 7
Waukesha, WI 531882400
Phone: (800) 693-1916
Fax: (248) 605-3525
Type: Location
10150 W National Ave Ste 370
West Allis, WI 532272152
Phone: (800) 693-1916
Fax: (248) 605-3525
Type: Location
8120 Penn Ave S Ste 400
Bloomington, MN 554311311
Phone: (800) 693-1916
Fax: (248) 605-3525
Type: Location
2780 Snelling Ave N Ste 102
Roseville, MN 551137115
Phone: (800) 693-1916
Fax: (248) 605-3525
Type: Location
1 Heritage Dr Ste 520
Southgate, MI 481953051
Phone: (800) 693-1916
Fax: (248) 605-3525
Type: Location
18303 E 10 Mile Rd Ste 200
Roseville, MI 480664989
Phone: (800) 693-1916
Fax: (248) 605-3525
Type: Location
41700 Gardenbrook Rd Ste 110
Novi, MI 483751320
Phone: (800) 693-1916
Fax: (248) 605-3525
Type: Location
8341 Office Park Dr Ste E
Grand Blanc, MI 484392077
Phone: (800) 693-1916
Fax: (248) 605-3525
Type: Location
13001 23 Mile Rd Ste 103
Shelby Township, MI 483152767
Phone: (800) 693-1916
Fax: (248) 605-3525
Type: Location
1 Parklane Blvd Ste 1200
Dearborn, MI 481262400
Phone: (800) 693-1916
Fax: (248) 605-3525
Type: Location
39425 Garfield Rd Ste 23
Clinton Township, MI 480384651
Phone: (800) 693-1916
Fax: (248) 605-3525
Type: Location
PO BOX 772263
DETROIT, MI 482772263
Phone: (800) 693-1916
Fax: (248) 605-3525
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2022-11-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-03-31 (800 days ago).
Enrollment records
4
Earliest due date
2024-03-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20080731000086 | O | Clinic/Group Practice | MI | 2026-07-31 |
| O20190204000199 | O | Clinic/Group Practice | IL | 2024-03-31 |
| O20220826002066 | O | Clinic/Group Practice | WI | TBD |
| O20221117000817 | O | Clinic/Group Practice | MN | TBD |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 60563)
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