Steven Thomas Peters
NPI 1114471687ActiveIndividual· Psychologist, Clinical· Caro, MI
Psychologist, Clinical with Lakeshore Therapy PLLC, practicing in Caro, Michigan. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1114471687 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Aug 12, 2016 |
| Last updated in NPPES | Oct 4, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | 6301017202 | MI |
| Student in an Organized Health Care Education/Training Program | 390200000X | 6301015994 | 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
| Graduation year | 2017 |
|---|---|
| Medicare specialty | Clinical Psychologist |
| Telehealth | Offers telehealth |
Medical group
- Lakeshore Therapy PLLCSandusky, MI · 6 clinicians
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All 15 clinical psychologists in Caro · All clinical psychologists in Michigan