Josephine R. Cervantes, LPC, PSYD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6351004413 Issued in MI

Practice address

4241 Barnard Rd
Saginaw, MI 48603-1308

Phone

(989) 497-2500

NPI assigned

Oct 31, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bay-Arenac Behavioral Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bay City, MI
  • NPI 1154439438
  NPD

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

{
    "created_epoch": "1509408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663027200000",
    "number": "1063924934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 SILVERVALE DR",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483091154",
            "telephone_number": "248-630-6302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4241 BARNARD RD",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486031308",
            "telephone_number": "989-497-2500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "316 Silvervale Dr",
            "address_purpose": "LOCATION",
            "city": "Rochester Hills",
            "state": "MI",
            "postal_code": "483091154",
            "country_code": "US",
            "telephone_number": "248-630-6302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CERVANTES",
        "first_name": "JOSEPHINE",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "LPC, PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-31",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401018492",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6351004413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Central Michigan Christian Counseling LLC
• Central Michigan University
• Cep America LLC
• Nyssa Cerny
• Juan Pablo Ceron-Parra
• Joseph Chacko, FNP-BC
• Sophia Destiny Chacon
• Karen Nicole Chaffer, AU.D.
• Harsna Chahal
• Vijay Chaku, MD

• Psychologist in Saginaw, MI
• Providers in Saginaw, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.