Individual provider Active NPI

Sarita R Overton, PH.D.

  • Counseling Psychologist
  • East Lansing, MI
National Provider Identifier
1023081296
Registry record updated Oct 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
6301006941 Issued in MI
Practice address
790 W Lake Lansing Rd
Suite # 500
East Lansing, MI 48823-8465
Phone
(517) 333-9494
Fax
(517) 333-3311
NPI assigned
Feb 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 6301006941 MI Primary
Health Service Psychologist 103TH0100X 6301006941 MI

Addresses

Primary practice location

790 W Lake Lansing Rd
Suite # 500
East Lansing, MI 48823-8465

Mailing address

790 W Lake Lansing Rd
Suite # 500
East Lansing, MI 48823-8465
Phone (517) 333-9494

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061109000047 MI Practitioner - Clinical Psychologist 6800893660 Practice locations: East Lansing, MI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

790 W Lake Lansing Rd
Suite 500
East Lansing, MI 48823-8505
Phone (517) 333-9494

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317859200000",
    "number": "1023081296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 W LAKE LANSING RD",
            "address_2": "SUITE # 500",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488238465",
            "telephone_number": "517-333-9494",
            "fax_number": "517-333-3311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 W LAKE LANSING RD",
            "address_2": "SUITE # 500",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488238465",
            "telephone_number": "517-333-9494",
            "fax_number": "517-333-3311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OVERTON",
        "first_name": "SARITA",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-08",
        "last_updated": "2011-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MI",
            "license": "6301006941",
            "primary": true
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "MI",
            "license": "6301006941",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Lansing, MI

Sources for this page

Verify at the official NPI Registry.