Corissa Carlson
NPI 1093008880ActiveIndividual· Psychologist, Clinical· Clinton Township, MI
Psychologist, Clinical in Clinton Township, Michigan, trained at Wayne State University School of Medicine (class of 2017). Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1093008880 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | May 26, 2011 |
| Last updated in NPPES | Sep 26, 2025 |
| Certified by provider | Sep 26, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | 6301017222 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (MI) |
|---|
Education and affiliations
| Medical school | Wayne State University School of Medicine |
|---|---|
| Graduation year | 2017 |
| Medicare specialty | Clinical Psychologist |
Medical group
- Macomb Therapy Group PLLCClinton Township, MI · 16 clinicians
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All 36 clinical psychologists in Clinton Township · All clinical psychologists in Michigan