OrganizationActive
Northern State of Mind LLC
NPI 1124979810 · Psychologist · Beulah, MI
Provider details
- NPI number
- 1124979810
- Entity type
- Organization
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Roberta Marshall, Limited License Psychologist(248) 622-3399
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
57 N Michigan Ave
Beulah, MI 49617-8600
Phone: (248) 622-3399
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 45
Beulah, MI 49617-0045
Registry dates
- Enumerated
- 2026-02-07
- Last updated
- 2026-03-12
- Certified
- 2026-03-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.