NPIMap

Organization Active NPI

Saginaw Psychological Services Inc.

  • Psychiatry Physician
  • Saginaw, MI
National Provider Identifier
1043418726
Registry record updated Jul 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
SAGINAW PSYCHOLOGICAL SERVICES INC.
Practice address
2100 Hemmeter Rd
Saginaw, MI 48603-3944
Phone
(989) 799-2100
Fax
(989) 799-2637
NPI assigned
Jul 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2021

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

Authorized official

Name
Nathalie Menendes, PSY.D
Title
Coo
Phone
(989) 799-2100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

2100 Hemmeter Rd
Saginaw, MI 48603-3944

Mailing address

2100 Hemmeter Rd
Saginaw, MI 48603-3944
Phone (989) 799-2100

Other identifiers 1

IdentifierTypeStateIssuer
0915317OtherMIBCBS OPC PSYCHIATRIST

National Provider Directory

National Provider Directory
Tax ID family
Saginaw Psych Services6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1183593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626825600000",
    "number": "1043418726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 HEMMETER RD",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486033944",
            "telephone_number": "989-799-2100",
            "fax_number": "989-799-2637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 HEMMETER RD",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486033944",
            "telephone_number": "989-799-2100",
            "fax_number": "989-799-2637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGINAW PSYCHOLOGICAL SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-05",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A",
        "authorized_official_last_name": "MENENDES",
        "authorized_official_first_name": "NATHALIE",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "989-799-2100",
        "authorized_official_credential": "PSY.D"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OPC PSYCHIATRIST",
            "identifier": "0915317",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.