IndividualActive
Nickolas Bushon, M.A., TLLP
NPI 1245603703 · Psychologist · Owosso, MI
Nickolas Bushon, M.A., TLLP is a Psychologist provider in Owosso, MI (NPI 1245603703).
Provider details
- NPI number
- 1245603703
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Credential
- M.A., TLLP
- Sex
- Male
- Sole proprietor
- No
- License
- 6301016436 (MI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES 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
1555 Industrial Dr
Owosso, MI 48867-9775
Phone: (989) 723-6791
Fax: (989) 725-5061
Street-level locationGet directions
Mailing address
Po Box 428
Owosso, MI 48867-0428
Registry dates
- Enumerated
- 2015-11-05
- Last updated
- 2015-11-05
Frequently asked questions
- What is Nickolas Bushon's NPI number?
- Nickolas Bushon's National Provider Identifier (NPI) is 1245603703, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nickolas Bushon's specialty?
- Nickolas Bushon is listed in the NPPES registry with a primary specialty of Psychologist (Behavioral Health & Social Service Providers).
- Where is Nickolas Bushon located?
- Nickolas Bushon's practice location on file with NPPES is 1555 Industrial Dr, Owosso, MI 48867-9775.
- What is Nickolas Bushon's phone number?
- The practice phone number listed in the NPPES registry for Nickolas Bushon is (989) 723-6791.
- Is Nickolas Bushon's NPI active?
- Yes — Nickolas Bushon's NPI (1245603703) is active in the NPPES registry as of the last update on 2015-11-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.